Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Starved Rock Regional Center for Therapy & Child Development

Organization Pediatric Rehabilitation Medicine Physician · NPI 1063544401

Starved Rock Regional Center for Therapy & Child Development provides Pediatric Rehabilitation Medicine Physician services in Ottawa, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
5

Practice location Address checks out

1013 Adams St
Ottawa, IL 61354-4304
Phone: (815) 434-0857
Fax: (815) 434-2260
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Voluntary or Charitable Agency (primary) Taxonomy 251V00000X (IL)
Pediatric Rehabilitation Medicine Physician Taxonomy 2081P0010X (IL)
Occupational Therapist Taxonomy 225X00000X (IL)
Speech-Language Pathologist Taxonomy 235Z00000X (IL)
Voluntary or Charitable Agency Taxonomy 251V00000X

Record details

NPI number1063544401
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paula Williamson — Program Director · (815) 434-0857
Other names Easter Seals Of Lasalle & Bureau Counties
NPI enumeratedMarch 12, 2007
Last updated in NPPESJune 19, 2018
Mailing address1013 Adams Street, Ottawa, IL 61354-4304