Early Autism Services, Llc is a medicare enrolled "Behavior Analyst" provider in Countryside, Illinois. Their current practice location is
5705 Willow Springs Rd, Countryside, Illinois. You can reach out to their office (for appointments etc.) via phone at
(312) 914-0611.
Early Autism Services, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Early Autism Services, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1700130713.
Healthcare Provider's Profile
| Full Name | Early Autism Services, Llc |
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| Type | Facility |
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| Speciality | Behavior Analyst |
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| Location | 5705 Willow Springs Rd, Countryside, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1700130713
- Provider Enumeration Date: 10/30/2012
- Last Update Date: 04/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 9436547288
- Enrollment ID: O20211027001143
Medical Identifiers
Medical identifiers for Early Autism Services, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700130713 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Early Autism Services, Llc acts as a billing entity for following providers:
| Provider Name | Katherine Jones |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1639746639
PECOS PAC ID: 5698163442
Enrollment ID: I20211027001276 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Early Autism Services, Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Early Autism Services, Llc
1721 Moon Lake Blvd Ste 140,
Hoffman Estates, IL 60169-1070
Ph: (312) 965-2997 | Early Autism Services, Llc
5705 Willow Springs Rd,
Countryside, IL 60525-3478
Ph: (312) 914-0611 |
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