Provider Demographics
NPI:1881059806
Name:METRO EAST THERAPY, INC.
Entity type:Organization
Organization Name:METRO EAST THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHONAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-581-8304
Mailing Address - Street 1:60 S STATE ROUTE 157 STE 20
Mailing Address - Street 2:
Mailing Address - City:EDWARDSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62025-3899
Mailing Address - Country:US
Mailing Address - Phone:618-581-8304
Mailing Address - Fax:618-307-6787
Practice Address - Street 1:60 S STATE ROUTE 157 STE 20
Practice Address - Street 2:
Practice Address - City:EDWARDSVILLE
Practice Address - State:IL
Practice Address - Zip Code:62025-3899
Practice Address - Country:US
Practice Address - Phone:618-581-8304
Practice Address - Fax:618-307-6787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-17
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146011286235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty