Jacqueline Tolentino
Individual provider Active NPI Developmental Therapist · Harwood Heights, IL
NPI 1184166605 · NPPES record last updated Nov 15, 2016
Key facts
- NPI
- 1184166605
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 4412 N Oak Park Ave
Harwood Heights, IL 60706-4836 - Phone
- (773) 793-4846
- NPI assigned
- Nov 15, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kei | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
4412 N Oak Park Ave
Harwood Heights, IL 60706-4836
Mailing address
4557 N Narragansett Ave
Chicago, IL 60630-3029
Phone (773) 629-3323
Other providers in Harwood Heights, IL
- Jovana Simovic
- Simple Laboratories LLC
- Wioleta Malgorzata Skowyra
- Vanessa Sohn
- Beata Stos
- Danielle Torossi
- Traditions Hospice of Harwood Heights, LLC
- Union Ridge District 86
- VDT Therapy Inc
- Viva Health Inc
All providers in Harwood Heights, 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 Nov 15, 2016. 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.