| Beyond Play Llc | |
|
544 Nunda Trl Crystal Lake IL 60012-3795 | |
| (224) 201-8769 | |
| (224) 324-8549 |
| Full Name | Beyond Play Llc |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 544 Nunda Trl, Crystal Lake, Illinois |
| Authorized Official Name and Position | Lucky Ferguson (MANAGING PARTNER) |
| Authorized Official Contact | 2242018769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond Play Llc 544 Nunda Trl Crystal Lake IL 60012-3795 Ph: (224) 201-8769 | Beyond Play Llc 544 Nunda Trl Crystal Lake IL 60012-3795 Ph: (224) 201-8769 |
| NPI Number | 1053967273 |
|---|---|
| Provider Enumeration Date | 08/13/2019 |
| Last Update Date | 02/16/2024 |
| Certification Date | 02/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053967273 | NPI | - | NPPES |
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