Provider Demographics
NPI:1811170103
Name:CHILD FIRST
Entity type:Organization
Organization Name:CHILD FIRST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BIEKERT
Authorized Official - Suffix:
Authorized Official - Credentials:SLP/CCC
Authorized Official - Phone:618-410-4767
Mailing Address - Street 1:934 BAY POINTE DR
Mailing Address - Street 2:
Mailing Address - City:FREEBURG
Mailing Address - State:IL
Mailing Address - Zip Code:62243-2737
Mailing Address - Country:US
Mailing Address - Phone:618-410-4767
Mailing Address - Fax:618-539-5007
Practice Address - Street 1:934 BAY POINTE DR
Practice Address - Street 2:
Practice Address - City:FREEBURG
Practice Address - State:IL
Practice Address - Zip Code:62243-2737
Practice Address - Country:US
Practice Address - Phone:618-410-4767
Practice Address - Fax:618-539-5007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty