Provider Demographics
NPI:1750630638
Name:PROTECTED TOMORROWS
Entity type:Organization
Organization Name:PROTECTED TOMORROWS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TERI
Authorized Official - Middle Name:
Authorized Official - Last Name:BODEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-522-8086
Mailing Address - Street 1:103 SCHELTER RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLNSHIRE
Mailing Address - State:IL
Mailing Address - Zip Code:60069
Mailing Address - Country:US
Mailing Address - Phone:847-522-8086
Mailing Address - Fax:847-522-8081
Practice Address - Street 1:103 SCHELTER RD
Practice Address - Street 2:
Practice Address - City:LINCOLNSHIRE
Practice Address - State:IL
Practice Address - Zip Code:60069
Practice Address - Country:US
Practice Address - Phone:847-522-8086
Practice Address - Fax:847-522-8081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-06
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management