Provider Demographics
NPI:1861693285
Name:DOERR THERAPY, INC
Entity type:Organization
Organization Name:DOERR THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:DOERR
Authorized Official - Suffix:
Authorized Official - Credentials:MS,CCS-SLP
Authorized Official - Phone:847-293-0607
Mailing Address - Street 1:1471 ALEXANDRA BLVD
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-2907
Mailing Address - Country:US
Mailing Address - Phone:847-961-5626
Mailing Address - Fax:847-961-5626
Practice Address - Street 1:1471 ALEXANDRA BLVD
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-2907
Practice Address - Country:US
Practice Address - Phone:847-961-5626
Practice Address - Fax:847-961-5626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech