Provider Demographics
NPI:1205444635
Name:CROTTY PEDIATRICS, LTD
Entity type:Organization
Organization Name:CROTTY PEDIATRICS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:CROTTY
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:708-253-5230
Mailing Address - Street 1:17551 REDWOOD LN
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60487-6166
Mailing Address - Country:US
Mailing Address - Phone:708-253-5230
Mailing Address - Fax:708-330-4400
Practice Address - Street 1:17551 REDWOOD LN
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60487-6166
Practice Address - Country:US
Practice Address - Phone:708-253-5230
Practice Address - Fax:708-330-4400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty