Provider Demographics
NPI:1871224972
Name:SYNAPTIC KIDS LLC
Entity Type:Organization
Organization Name:SYNAPTIC KIDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ELISABETH
Authorized Official - Last Name:SCHECK
Authorized Official - Suffix:
Authorized Official - Credentials:MOTR/L
Authorized Official - Phone:847-507-5401
Mailing Address - Street 1:1620 LINCOLN DR UNIT 206
Mailing Address - Street 2:
Mailing Address - City:NORTH LIBERTY
Mailing Address - State:IA
Mailing Address - Zip Code:52317-4862
Mailing Address - Country:US
Mailing Address - Phone:847-507-5401
Mailing Address - Fax:
Practice Address - Street 1:1620 LINCOLN DR UNIT 206
Practice Address - Street 2:
Practice Address - City:NORTH LIBERTY
Practice Address - State:IA
Practice Address - Zip Code:52317-4862
Practice Address - Country:US
Practice Address - Phone:847-507-5401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-20
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty