Provider Demographics
NPI:1982062998
Name:SHERRY ROWLAND
Entity Type:Organization
Organization Name:SHERRY ROWLAND
Other - Org Name:BUNDLES OF JOY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DEVELOPMENTAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWLAND
Authorized Official - Suffix:
Authorized Official - Credentials:EARLY INTERVENTION
Authorized Official - Phone:630-251-7851
Mailing Address - Street 1:4 NICHOLAS CT
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60490-5579
Mailing Address - Country:US
Mailing Address - Phone:630-251-7851
Mailing Address - Fax:630-378-5918
Practice Address - Street 1:4 NICHOLAS CT
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60490-5579
Practice Address - Country:US
Practice Address - Phone:630-251-7851
Practice Address - Fax:630-378-5918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-04
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILSR28241003P252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1730303124OtherNPI