Chauntina L. Haskin
Individual provider Active NPI Developmental Therapist · Richton Park, IL
NPI 1356576870 · NPPES record last updated May 28, 2009
Key facts
- NPI
- 1356576870
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 4043 Euclid LN
Suite 201
Richton Park, IL 60471-1310 - Phone
- (708) 748-5700
- Fax
- (708) 748-4245
- NPI assigned
- May 28, 2009
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
4043 Euclid LN
Suite 201
Richton Park, IL 60471-1310
Mailing address
4043 Euclid LN.
Suite 201
Richton Park, IL 60471
Phone (708) 748-5700
Other providers in Richton Park, IL
- Great Link Homes
- Rachel Camille Robin Guthrie
- Diantha O Hancock
- Rosa Elestine Harris
- Eric V Harwell
- Heavenly Helpers
- Here and There Transportation
- Sharon Holmes
- Lashonda Howell
- Icg Home Health
All providers in Richton Park, 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 May 28, 2009. 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.