Provider Demographics
NPI:1740654938
Name:BABY TALK, INC.
Entity type:Organization
Organization Name:BABY TALK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF LOCAL PROGRAMMING
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARDELEBEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-475-2234
Mailing Address - Street 1:500 E LAKE SHORE DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:IL
Mailing Address - Zip Code:62521-3336
Mailing Address - Country:US
Mailing Address - Phone:217-475-2234
Mailing Address - Fax:217-475-2206
Practice Address - Street 1:650 W WILLIAM ST
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:IL
Practice Address - Zip Code:62522-2326
Practice Address - Country:US
Practice Address - Phone:217-422-5249
Practice Address - Fax:217-422-1401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-25
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency