Devora'S Dream, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

DEVORA'S DREAM, INC

Practice address

2323 Old Glenview Rd
Wilmette, IL 60091-3113

Phone

(224) 558-4509

Fax

(847) 256-1824

NPI assigned

Dec 1, 2015

Organization subpart

No

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

Authorized official

Name

Sheila Fisher

Title

Executive Director

Phone

(224) 558-4509

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1366817447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 OLD GLENVIEW RD",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913113",
            "telephone_number": "224-558-4509",
            "fax_number": "847-256-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 OLD GLENVIEW RD",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913113",
            "telephone_number": "224-558-4509",
            "fax_number": "847-256-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVORA'S DREAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "224-558-4509"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Deitelbaum Lunz, SLP
• Del Lago Pharmacy LTD
• Pinal Desai
• Benjamin Detzner
• Leigh Alexandra Deutsch, LCSW
• Mackenzie Bette Difiore
• Amanda R Digangi, PT
• Mary-Claire Cathleen Dimiceli, M.S., BCBA
• Diverse Foresight, Inc.
• Doc'S PT LLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.