Kerry Bouck

Developmental Therapist · Mokena, IL

Individual Active NPI

NPI number 1568612489

Practice location

11820 Wembley Dr
Mokena, IL 60448-2420
Phone
(708) 243-0009
Fax
(708) 479-1352

Open in Google Maps

NPI record

NPI
1568612489
Entity type
Individual (Type 1)
Enumeration date
September 28, 2008
Last updated
September 28, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Developmental Therapist Primary 222Q00000X — IL

About Kerry Bouck

Kerry Bouck is a healthcare provider registered in the NPI registry with the primary taxonomy Developmental Therapist (code 222Q00000X). The practice location is 11820 Wembley Dr, Mokena, IL 60448-2420. The NPI number 1568612489 was assigned on September 28, 2008 and the record was last updated on September 28, 2008.

Frequently asked questions

What is the NPI number of Kerry Bouck?

The NPI number is 1568612489.

What is the phone number of Kerry Bouck?

The phone number listed for the practice location is (708) 243-0009.

Where is Kerry Bouck located?

11820 Wembley Dr, Mokena, IL 60448-2420.

What is the taxonomy code for Kerry Bouck?

The primary taxonomy code is 222Q00000X – Developmental Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Developmental Therapist providers in Mokena

All Developmental Therapist providers in Mokena, IL →