SearchIllinoisEarly Intervention Provider Agency

Kimberly Dahl

NPI 1780555870 · on the registry since 2025 · sole proprietor

Practice

Address
856 White Tail Bnd
Manteno, IL 60950
Phone
(708) 207-8691

Registry record

Primary taxonomy
Early Intervention Provider Agency
252Y00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois