Individual provider Active NPI

Dana Weine, M.S.

  • Developmental Therapist
  • Highland Park, IL
National Provider Identifier
1346434974
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
License
W50017276706 Issued in IL
Practice address
760 Pleasant Ave
Highland Park, IL 60035-4613
Phone
(312) 493-4641
Fax
(847) 242-9562
NPI assigned
Aug 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X W50017276706 IL Primary

Addresses

Primary practice location

760 Pleasant Ave
Highland Park, IL 60035-4613

Mailing address

760 Pleasant Ave
Highland Park, IL 60035-4613
Phone (312) 493-4641

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
W50017276706ILMDDevelopmental Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Boca Developmental Therapy Center, LLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1346434974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 PLEASANT AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354613",
            "telephone_number": "312-493-4641",
            "fax_number": "847-242-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 PLEASANT AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354613",
            "telephone_number": "312-493-4641",
            "fax_number": "847-242-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINE",
        "first_name": "DANA",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": "W50017276706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.