Ei Baby Doctor PC

Organization Active NPI Early Intervention Provider Agency · Lake Bluff, IL

NPI 1851989552 · NPPES record last updated Dec 8, 2022

Key facts

NPI
1851989552
Entity type
Organization (NPI type 2)
Primary specialty
Early Intervention Provider Agency 252Y00000X
Legal business name
EI BABY DOCTOR PC
Practice address
600 Basil Rd
Lake Bluff, IL 60044-1704
Phone
(224) 288-8797
NPI assigned
Jan 7, 2021
Organization subpart
No

Authorized official

Name
Angela Marcotte, DPT
Title
Manager
Phone
(224) 288-8797

Practitioners 1

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225100000X
Early Intervention Provider Agency 252Y00000X Yes

Addresses

Primary practice location

600 Basil Rd
Lake Bluff, IL 60044-1704

Mailing address

600 Basil Rd
Lake Bluff, IL 60044-1704

Other practice location 1

4154 N Spaulding Ave Apt 1
Chicago, IL 60618-4139
Phone (224) 288-8797

Other providers in Lake Bluff, IL

All providers in Lake Bluff, IL · Early Intervention Provider Agency in Illinois

Sources for this page

Verify at the official NPI Registry.