Organization Active NPI

Foundations for Kids, Inc

  • Developmental Therapist
  • West Chicago, IL
National Provider Identifier
1205026580
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
License
PO75050199P Issued in IL
Legal business name
FOUNDATIONS FOR KIDS, INC
Practice address
2355 Fairchild LN
West Chicago, IL 60185-6167
Phone
(630) 587-4475
Fax
(630) 587-1907
NPI assigned
Aug 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Paulette Marie OllieNPI 1083833529
Title
Developmental Therapist
Phone
(630) 587-4475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 222Q00000X PO75050199P IL Primary

Addresses

Primary practice location

2355 Fairchild LN
West Chicago, IL 60185-6167

Mailing address

2355 Fairchild LN
West Chicago, IL 60185-6167
Phone (630) 587-4475

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1205026580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 FAIRCHILD LN",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601856167",
            "telephone_number": "630-587-4475",
            "fax_number": "630-587-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 FAIRCHILD LN",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601856167",
            "telephone_number": "630-587-4475",
            "fax_number": "630-587-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS FOR KIDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "OLLIE",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DEVELOPMENTAL THERAPIST",
        "authorized_official_telephone_number": "630-587-4475",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": "PO75050199P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.