Early Intervention Specialists

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

EARLY INTERVENTION SPECIALISTS

Practice address

2302 Edgebrook Dr
Rockford, IL 61107-1411

Phone

(815) 226-4978

NPI assigned

Jul 28, 2010

Organization subpart

No

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

Authorized official

Name

Mr. David E Ortiz

Title

Managing Partner

Phone

(312) 375-3272

Specialties & licenses 1

Addresses

Practitioners 1

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

• Erin Andrews

  • Developmental Therapist
  • Rockford, IL
  • NPI 1306132071
  NPD (past)

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1235443565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 N HERMITAGE AVE",
            "address_2": "UNIT B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223254",
            "telephone_number": "312-375-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 EDGEBROOK DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611071411",
            "telephone_number": "815-226-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY INTERVENTION SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "312-375-3272",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Dyson
• Tracy Eakle, APRN
• Ear Nose & Throat Specialists of Rockford SC
• Jeffrey S. Earhart, M.D.
• Mary Earle, LCSW
• Easter Seals Children'S Development Center
• Easter Seals Children'S Development Center
• Janice Petersen Easty, O.D.
• Gareth A Eberle, MD
• Brenda Alis Echeverria, APRN

• Early Intervention Provider Agency in Rockford, IL
• Providers in Rockford, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.