Michelle Lee Cedergren
Individual provider Active NPI Developmental Therapist · Worth, IL
NPI 1053969170 · NPPES record last updated Sep 2, 2019
Key facts
- NPI
- 1053969170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 11327 S Natoma Ave
Worth, IL 60482-2129 - Phone
- (708) 227-0245
- NPI assigned
- Sep 2, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
11327 S Natoma Ave
Worth, IL 60482-2129
Mailing address
11327 S Natoma Ave
Worth, IL 60482-2129
Phone (708) 227-0245
Other providers in Worth, IL
- Bernard O Obrien DC PC
- Kaitlyn R Beverly
- Colleen Brown
- Julia Buchanan
- Diane Burnickas
- Victoria Christensen
- Mark Brian Colander
- Completely Chiropractic, LTD.
- Eric Corrao
- Creek Point Dental
All providers in Worth, IL · Developmental Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.