OrganizationActive
Beyond Play LLC
NPI 1053967273 · Early Intervention Provider Agency · Crystal Lake, IL
Provider details
- NPI number
- 1053967273
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Authorized official
- Lucky Ferguson, Managing Partner
Practice location
544 Nunda Trl
Crystal Lake, IL 60012-3795
Phone: (224) 201-8769
Fax: (224) 324-8549
Mailing address
544 Nunda Trl
Crystal Lake, IL 60012-3795
Registry dates
- Enumerated
- 2019-08-13
- Last updated
- 2024-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.