Provider Demographics
NPI:1740328186
Name:CABADAS, LAURA (OTR-LPC)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:
Last Name:CABADAS
Suffix:
Gender:F
Credentials:OTR-LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 N ADELE ST
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-1701
Mailing Address - Country:US
Mailing Address - Phone:630-212-7551
Mailing Address - Fax:630-530-7551
Practice Address - Street 1:713 N ADELE ST
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-1701
Practice Address - Country:US
Practice Address - Phone:630-212-7551
Practice Address - Fax:630-530-7551
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL104100000X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial Worker
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist