Shining Star Therapy, Llc

LBN: Shining Star Therapy, Llc
Shining Star Therapy, Llc is an health care organization with primary practice located at 13400 S Route 59 Suite# 116-326, Plainfield IL 60585-5696. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is the primary health care specialty. Shining Star Therapy, Llc can be contacted via phone (815) 267-7334, or through Braggs, Mylene via phone (708) 715-2555.

Contact Information

Primary practice address
13400 S Route 59 Suite# 116-326 Plainfield IL 60585-5696
Phone: (815) 267-7334
Fax: (630) 429-9411
Website:
Map and Directions
Authorized official contact:
Name: Braggs, Mylene OTR/L
Phone: (708) 715-2555

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.005672 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 070.016938 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 056.004242 Illinois
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146.004828 Illinois

Profile Details

NPI number 1689792822
LBN Legal business name Shining Star Therapy, Llc
DBA Doing business as
Authorized official Braggs, Mylene OTR/L
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Feb 22nd, 2021 - about 5 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 1689792822 NPPES
Illinois Other 9932502 BCBS OF IL

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