Provider Demographics
NPI:1811152754
Name:DEVELOPMENTAL AND SCHOOL BASED CONSULTANTS LTD
Entity type:Organization
Organization Name:DEVELOPMENTAL AND SCHOOL BASED CONSULTANTS LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:CHALEUNPHONH
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL
Authorized Official - Phone:815-729-9563
Mailing Address - Street 1:1404 TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-5736
Mailing Address - Country:US
Mailing Address - Phone:815-729-9563
Mailing Address - Fax:815-729-9563
Practice Address - Street 1:1404 TAYLOR ST
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-5736
Practice Address - Country:US
Practice Address - Phone:815-729-9563
Practice Address - Fax:815-729-9563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-21
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty