Blazing Prairie Stars

LBN: Blazing Prairie Stars
Blazing Prairie Stars is an health care organization with primary practice located at 47W635 Beith Rd , Maple Park IL 60151-8802. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Blazing Prairie Stars can be contacted via phone (630) 365-5550, or through Raack, Catherine B via phone (630) 365-5550.

Contact Information

Primary practice address
47W635 Beith Rd Maple Park IL 60151-8802
Phone: (630) 365-5550
Fax: (630) 365-9550
Website:
Map and Directions
Authorized official contact:
Name: Raack, Catherine B M.A.CCC-SLP
Phone: (630) 365-5550

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X Illinois

Profile Details

NPI number 1215089800
LBN Legal business name Blazing Prairie Stars
DBA Doing business as
Authorized official Raack, Catherine B M.A.CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215089800 NPPES
Illinois Other 04532110 BLUE CROSS BLUE SHEILD

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