Provider Demographics
NPI:1205114279
Name:KIDS FIRST THERAPY SERVICES INC.
Entity type:Organization
Organization Name:KIDS FIRST THERAPY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEVELOPMENTAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:R
Authorized Official - Last Name:KOENIG
Authorized Official - Suffix:
Authorized Official - Credentials:MA ED
Authorized Official - Phone:773-580-0699
Mailing Address - Street 1:17W726 BUTTERFIELD RD
Mailing Address - Street 2:APT. 103
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-4250
Mailing Address - Country:US
Mailing Address - Phone:773-580-0699
Mailing Address - Fax:
Practice Address - Street 1:17W726 BUTTERFIELD RD
Practice Address - Street 2:APT. 103
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-4250
Practice Address - Country:US
Practice Address - Phone:773-580-0699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-25
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILJK35780299P251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health