Maureen Elizabeth Keigher
Individual provider Active NPI Developmental Therapist · Melvin, IL
NPI 1255680252 · NPPES record last updated Sep 5, 2012
Key facts
- NPI
- 1255680252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 1270 N 1000E Rd
Melvin, IL 60952-4069 - Phone
- (217) 781-4422
- NPI assigned
- Sep 5, 2012
- 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
1270 N 1000E Rd
Melvin, IL 60952-4069
Mailing address
1270 N 1000E Rd
Melvin, IL 60952-4069
Phone (217) 781-4422
Other providers in Melvin, IL
All providers in Melvin, 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 5, 2012. 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.