Provider Demographics
NPI:1720424773
Name:CHILDRENS CARE TRANSLATION CENTER II
Entity type:Organization
Organization Name:CHILDRENS CARE TRANSLATION CENTER II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PIKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-363-0785
Mailing Address - Street 1:3821 ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-4041
Mailing Address - Country:US
Mailing Address - Phone:708-363-0785
Mailing Address - Fax:708-795-5830
Practice Address - Street 1:3821 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-4041
Practice Address - Country:US
Practice Address - Phone:708-363-0785
Practice Address - Fax:708-795-5830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-17
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL02679221252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency