Provider Demographics
NPI:1780448993
Name:STRENK, CAROLINE GRACE (BS)
Entity type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:GRACE
Last Name:STRENK
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:GRACE
Other - Last Name:DEGAETANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:1819 OAK ST APT 908
Mailing Address - Street 2:
Mailing Address - City:NORTH AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60542-1913
Mailing Address - Country:US
Mailing Address - Phone:630-715-8789
Mailing Address - Fax:
Practice Address - Street 1:1819 OAK ST APT 908
Practice Address - Street 2:
Practice Address - City:NORTH AURORA
Practice Address - State:IL
Practice Address - Zip Code:60542-1913
Practice Address - Country:US
Practice Address - Phone:630-715-8789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist