Active NPI
Buthina Nouri
- Developmental Therapist
- Oak Forest, IL
National Provider Identifier
1003389685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 6255 Carriage Way
Oak Forest, IL 60452-6026 - Phone
- (708) 566-0405
- NPI assigned
- Jan 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
6255 Carriage Way
Oak Forest, IL 60452-6026
Mailing address
6255 Carriage Way
Oak Forest, IL 60452-6026
Other practice location 1
15106 Central Ave
Oak Forest, IL 60452-2108
Phone (708) 566-0405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554681600000",
"number": "1003389685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6255 CARRIAGE WAY",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604526026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6255 CARRIAGE WAY",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604526026",
"telephone_number": "708-566-0405"
}
],
"practiceLocations": [
{
"address_1": "15106 Central Ave",
"address_purpose": "LOCATION",
"city": "Oak Forest",
"state": "IL",
"postal_code": "604522108",
"country_code": "US",
"telephone_number": "708-566-0405",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOURI",
"first_name": "BUTHINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-07",
"last_updated": "2019-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.