Active NPI
Denise Marie Dubiel
- Developmental Therapist
- Homer Glen, IL
National Provider Identifier
1225346372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 12754 W Beaver Den TRL
Homer Glen, IL 60491-9024 - Phone
- (708) 301-7604
- NPI assigned
- Sep 22, 2010
- 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
12754 W Beaver Den TRL
Homer Glen, IL 60491-9024
Mailing address
12754 W Beaver Den TRL
Homer Glen, IL 60491-9024
Phone (708) 301-7604
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": "1285113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285113600000",
"number": "1225346372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12754 W BEAVER DEN TRL",
"city": "HOMER GLEN",
"state": "IL",
"postal_code": "604919024",
"telephone_number": "708-301-7604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12754 W BEAVER DEN TRL",
"city": "HOMER GLEN",
"state": "IL",
"postal_code": "604919024",
"telephone_number": "708-301-7604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBIEL",
"first_name": "DENISE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-22",
"last_updated": "2010-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homer Glen, IL
- Brittany Donnelly, MOT, OTR/L
- Dr Alexandra Hoye DDS LLC
- Dr. Edward J. Brennan, Jr. D.D.S. & Dr. Mark J. Peloquin, D.D.S. PC
- Kristina Dragstrem, DDS, MS
- Deanna Lee Drzymkowski, DPT
- Earley Family Dental, PC
- Easy Living Comfort Store, Inc.
- Echo Glen Therapy PLLC
- Edelson Pediatrics SC
- Kathryn Marie Ehmann, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.