Cherubim Developmental Training Program

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

CHERUBIM DEVELOPMENTAL TRAINING PROGRAM

Practice address

211 E Illinois St
Unit 2
Wheaton, IL 60187-5403

Phone

(630) 715-7278

Fax

(630) 588-8883

NPI assigned

May 3, 2016

Last updated

May 3, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Ann Johnson, ME.D

Title

President/Ceo/Qidp

Phone

(630) 715-7278

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1033564513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E ILLINOIS ST",
            "address_2": "UNIT 2",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875403",
            "telephone_number": "630-715-7278",
            "fax_number": "630-588-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E ILLINOIS ST",
            "address_2": "UNIT 2",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875403",
            "telephone_number": "630-715-7278",
            "fax_number": "630-588-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERUBIM DEVELOPMENTAL TRAINING PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT/CEO/QIDP",
        "authorized_official_telephone_number": "630-715-7278",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ME.D"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Developmentally Disabled Services Day Training Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.