| Blazing Prairie Stars | |
|
47w635 Beith Rd, Maple Park, IL 60151-8802 | |
| (630) 365-5550 | |
| (630) 365-9550 |
| Full Name | Blazing Prairie Stars |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 47w635 Beith Rd, Maple Park, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215089800 | NPI | - | NPPES |
| 04532110 | Other | IL | BLUE CROSS BLUE SHEILD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Blazing Prairie Stars 47w635 Beith Road, Maple Park, IL 60151-8802 Ph: (630) 365-5550 | Blazing Prairie Stars 47w635 Beith Rd, Maple Park, IL 60151-8802 Ph: (630) 365-5550 |
Tlc Speech Services Pc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 309 W Burlington Dr, Maple Park, IL 60151 Phone: 630-853-6012 Fax: 815-827-3792 | |
Cheryl Bowen Cutsinger, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 325 W Elian Ct, Maple Park, IL 60151 Phone: 815-501-3284 | |
Terri Lynn Robinson, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 309 W Burlington Dr, Maple Park, IL 60151 Phone: 630-853-6012 Fax: 815-827-3792 |