Linda Sara Lopez
Individual provider Active NPI Developmental Therapist · Volo, IL
NPI 1194558882 · NPPES record last updated Aug 20, 2024
Key facts
- NPI
- 1194558882
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 1400 Wentworth Dr
Volo, IL 60020-3415 - Phone
- (847) 361-7611
- NPI assigned
- Aug 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
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
1400 Wentworth Dr
Volo, IL 60020-3415
Mailing address
1400 Wentworth Dr
Volo, IL 60020-3415
Phone (847) 361-7611
Other providers in Volo, IL
- Miranda M Gutierrez
- Manuel Herrera
- Melvin D Hinton
- Sandeep Kaur
- Elizabeth Kathleen Kienzle
- Emma Macniak
- Manny OT & Associates LLC
- Mental Wellbeing PLLC
- Janet K Ognibene
- RDC Liberation, PLLC
All providers in Volo, 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 Aug 20, 2024. 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.