| Shining Star Therapy, Llc | |
|
13400 S Route 59 Suite# 116-326 Plainfield IL 60585-5696 | |
| (815) 267-7334 | |
| (630) 429-9411 |
| Full Name | Shining Star Therapy, Llc |
|---|---|
| Speciality | Occupational Therapist - Pediatrics |
| Location | 13400 S Route 59, Plainfield, Illinois |
| Authorized Official Name and Position | Mylene Braggs (MEMBER) |
| Authorized Official Contact | 7087152555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shining Star Therapy, Llc 13400 S Route 59 Suite# 116-326 Plainfield IL 60585-5696 Ph: (815) 267-7334 | Shining Star Therapy, Llc 13400 S Route 59 Suite# 116-326 Plainfield IL 60585-5696 Ph: (815) 267-7334 |
| NPI Number | 1689792822 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 02/22/2021 |
| Certification Date | 02/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689792822 | NPI | - | NPPES |
| 9932502 | Other | IL | BCBS OF IL |
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