Mia Beth Deroin, D.O.
Individual provider Active NPI Developmental Therapist · Harwood Heights, IL
NPI 1306254271 · NPPES record last updated Jul 23, 2014
Key facts
- NPI
- 1306254271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 4412 N Oak Park Ave
Harwood Heights, IL 60706-4836 - Phone
- (630) 673-9499
- NPI assigned
- Jul 23, 2014
- 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
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | IL | Yes |
Addresses
Primary practice location
4412 N Oak Park Ave
Harwood Heights, IL 60706-4836
Mailing address
320 W Oakdale Ave
Chicago, IL 60657-6419
Phone (773) 871-5926
Other providers in Harwood Heights, IL
- Virginia Castillo
- Alfred Cisneros
- Tara Anne Culligan
- Barbara Stella Czarnik
- Dental Implant & Cosmetic Center, Inc
- Melissa Sara Drab
- Linda Jean Dudek-Francis
- Dudek-Francishealthcareandpainmanagementcenterp.C.
- Michael Embrey
- Jessica Lorraine Estrada
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 Jul 23, 2014. 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.