Kidtracks, Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

KIDTRACKS, INC.

Practice address

14234 S Bell Rd
PMB 143
Homer Glen, IL 60491-8122

Phone

(708) 301-7981

Fax

(708) 301-6765

NPI assigned

Mar 27, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Sheila M. Newcomb, PT

Title

President

Phone

(708) 301-7981

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1568634830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14234 S BELL RD",
            "address_2": "PMB 143",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918122",
            "telephone_number": "708-301-7981",
            "fax_number": "708-301-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14234 S BELL RD",
            "address_2": "PMB 143",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918122",
            "telephone_number": "708-301-7981",
            "fax_number": "708-301-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDTRACKS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "NEWCOMB",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-301-7981",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "09927853",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Kaeding
• Jenna Kane
• Nicolette Marie Karl
• Kasper,Heaton,Wright,Pagni,Andassociates,LTD
• Sahar H Khalaf
• Briana Kierzek, M.S.
• Kristin Renee King
• Kirk Center for Healthy Living, PC
• Brandi Dawn Kirk, PT
• Kenneth J Kirsch, DDS

• Early Intervention Provider Agency in Homer Glen, IL
• Providers in Homer Glen, 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 Mar 27, 2008; 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.