Provider Demographics
NPI:1861524878
Name:READY, SET, PLAY LLC
Entity type:Organization
Organization Name:READY, SET, PLAY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEVELOPMENTAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SKOLROOD
Authorized Official - Suffix:
Authorized Official - Credentials:BS ECE
Authorized Official - Phone:815-494-6085
Mailing Address - Street 1:3901 SAGE DR
Mailing Address - Street 2:#8
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61114-7394
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3901 SAGE DR
Practice Address - Street 2:#8
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61114-7394
Practice Address - Country:US
Practice Address - Phone:815-494-6085
Practice Address - Fax:815-282-4311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Single Specialty