Provider Demographics
| NPI: | 1003855933 |
|---|---|
| Name: | ACTION FOR KIDS, P.C. |
| Entity type: | Organization |
| Organization Name: | ACTION FOR KIDS, P.C. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| Authorized Official - Prefix: | MS |
| Authorized Official - First Name: | VICKI |
| Authorized Official - Middle Name: | ANN |
| Authorized Official - Last Name: | JENSEN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | CCC/SLP-L |
| Authorized Official - Phone: | 815-730-1818 |
| Mailing Address - Street 1: | 857 CENTER CT |
| Mailing Address - Street 2: | |
| Mailing Address - City: | SHOREWOOD |
| Mailing Address - State: | IL |
| Mailing Address - Zip Code: | 60431-8519 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 857 CENTER CT |
| Practice Address - Street 2: | |
| Practice Address - City: | SHOREWOOD |
| Practice Address - State: | IL |
| Practice Address - Zip Code: | 60431-8519 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 815-730-1818 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2006-06-06 |
| Last Update Date: | 2020-08-22 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Not Answered | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
| Not Answered | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
| Not Answered | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Pediatrics | Group - Multi-Specialty |
| Not Answered | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | Group - Multi-Specialty | |
| Not Answered | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
| Not Answered | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Pediatrics | Group - Multi-Specialty |
| Not Answered | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Group - Multi-Specialty | |
| Not Answered | 225000000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Orthotic Fitter | Group - Multi-Specialty |
