Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Starved Rock Regional Center for Therapy & Child Development

Organization Pediatric Rehabilitation Medicine Physician · NPI 1063544401

Starved Rock Regional Center for Therapy & Child Development is a Pediatric Rehabilitation Medicine Physician 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