Ei Baby Doctor PC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 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

Last updated

Dec 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela Marcotte, DPTNPI 1720416274

Title

Manager

Phone

(224) 288-8797

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela Marcotte, DPT

  • Physical Therapist
  • Lake Bluff, IL
  • NPI 1720416274
  NPD Authorized official

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1851989552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BASIL RD",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BASIL RD",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441704",
            "telephone_number": "224-288-8797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4154 N Spaulding Ave Apt 1",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606184139",
            "country_code": "US",
            "telephone_number": "224-288-8797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EI BABY DOCTOR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "MARCOTTE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "224-288-8797",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kysa R Epstein, LCPC
• Stephanie Escovar

• Early Intervention Provider Agency in Lake Bluff, IL
• Providers in Lake Bluff, 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 Dec 8, 2022; 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.