Active NPI
Cynthia Sue Book, DT
- Developmental Therapist
- Sterling, IL
National Provider Identifier
1376766089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- CB64890598P
- Practice address
- 2300 West Lefeure Road
Sterling, IL 61081-7703 - Phone
- (815) 626-3115
- Fax
- (815) 626-9640
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | CB64890598P | IL | Primary |
Addresses
Primary practice location
2300 West Lefeure Road
Sterling, IL 61081-7703
Mailing address
29752 Penrose Road
Sterling, IL 61081-7703
Phone (815) 626-2712
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CB64890598P | IL | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376766089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29752 PENROSE ROAD",
"city": "STERLING",
"state": "IL",
"postal_code": "610817703",
"telephone_number": "815-626-2712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 WEST LEFEURE ROAD",
"city": "STERLING",
"state": "IL",
"postal_code": "610817703",
"telephone_number": "815-626-3115",
"fax_number": "815-626-9640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOK",
"first_name": "CYNTHIA",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "DT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "IL",
"license": "CB64890598P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.