Corazon Raposa Agravante, D.T.

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

1926 W Harrison St
Apt. 211
Chicago, IL 60612-3737

Phone

(856) 313-1386

Fax

(312) 864-9336

NPI assigned

Jun 17, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1447410063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 W HARRISON ST",
            "address_2": "APT. 211",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123737",
            "telephone_number": "856-313-1386",
            "fax_number": "312-864-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 W HARRISON ST",
            "address_2": "APT. 211",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123737",
            "telephone_number": "856-313-1386",
            "fax_number": "312-864-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAVANTE",
        "first_name": "CORAZON",
        "middle_name": "RAPOSA",
        "credential": "D.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Agostino
• Emanuel Agosto
• Stacy L Agosto, LCSW
• Brent Edward Agran, DDS
• Mindy Grace Agranoff, MA
• Akansha Harish Agrawal, MD
• Ankita Agrawal, M.D.
• Anya Agrawal
• Arushi Agrawal, MD
• Divya Agrawal, M.D.

• All providers in Chicago, IL
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.