National Provider Identifier Database

EASTER SEALS UCP
Voluntary or Charitable


Contact Information

EASTER SEALS - UCP
507 E ARMSTRONG AVE
PEORIA, IL61603-3201
Phone: 309-686-1777
Fax: 309-686-7722
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X
Behavior Analyst 103K00000X
Behavior Technician 106S00000X
Occupational Therapist 225X00000X
Physical Therapist 225100000X
Public Health or Welfare 251K00000X
Speech-Language Pathologist 235Z00000X

* Indicates primary specialty

NPI Profile & details for EASTER SEALS - UCP

NPI Number 1467434795
Legal business name
LBN
EASTER SEALS - UCP
Authorized official MELISSA RIDDLE - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 11/14/2005
Last updated 02/26/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • IL Medicaid: =========

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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