Equestrian Connection

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

EQUESTRIAN CONNECTION

Practice address

800 N Bradley Road
Lake Forest, IL 60045

Phone

(847) 615-8696

NPI assigned

Sep 16, 2009

Organization subpart

No

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

Authorized official

Name

Diana Schnell

Title

Manager

Phone

(847) 615-8696

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1891028247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 S MILWAUKEE AVE",
            "address_2": "#273",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N BRADLEY ROAD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "60045",
            "telephone_number": "847-615-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUESTRIAN CONNECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "SCHNELL",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-615-8696"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Rae Elinski, PA-C
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• Leslie Evans, M.A., CCC-SLP
• Fahhad Farukhi MD
• Ceazar Oriel Familara, BSN RN

• Physical Therapist in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.