Provider Demographics
NPI:1043673551
Name:EXPRESSIVE HEALTHCARE SOLUTIONS, INC.
Entity type:Organization
Organization Name:EXPRESSIVE HEALTHCARE SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MUSIC THERAPIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEBA
Authorized Official - Suffix:
Authorized Official - Credentials:MT-BC
Authorized Official - Phone:630-750-0670
Mailing Address - Street 1:41W798 BEITH ROAD
Mailing Address - Street 2:
Mailing Address - City:CAMPTON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60119
Mailing Address - Country:US
Mailing Address - Phone:630-750-0670
Mailing Address - Fax:
Practice Address - Street 1:25 WINFIELD ROAD
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60190-1136
Practice Address - Country:US
Practice Address - Phone:630-750-0670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EXPRESSIVE HEALTHCARE SOLUTIONS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-04-01
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
07229225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty