Provider Demographics
NPI:1730366154
Name:MOVE N & CRUISE N KIDZ LLC
Entity type:Organization
Organization Name:MOVE N & CRUISE N KIDZ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:IYLA
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:MARGULIUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-894-2644
Mailing Address - Street 1:1211 DEERFIELD PKWY
Mailing Address - Street 2:APT 101
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-4563
Mailing Address - Country:US
Mailing Address - Phone:847-894-2644
Mailing Address - Fax:
Practice Address - Street 1:1211 DEERFIELD PKWY
Practice Address - Street 2:APT 101
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-4563
Practice Address - Country:US
Practice Address - Phone:847-894-2644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL261QD1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities