Provider Demographics
NPI:1194800235
Name:BUILDING BLOCKS DEVELOPMENTAL SERVICES LTD
Entity type:Organization
Organization Name:BUILDING BLOCKS DEVELOPMENTAL SERVICES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHARINE
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:PALERMO
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL
Authorized Official - Phone:815-272-5117
Mailing Address - Street 1:2218 COUNTRY RIDGE DRIVE
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60586
Mailing Address - Country:US
Mailing Address - Phone:815-272-5117
Mailing Address - Fax:866-615-0768
Practice Address - Street 1:13717 S ROUTE 30
Practice Address - Street 2:SUITE 159
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-5527
Practice Address - Country:US
Practice Address - Phone:815-272-5117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2009-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL9932458OtherBLUE CROSS/ BLUE SHIELD