Lyra Repplinger
Individual provider Active NPI Developmental Therapist · Wood Dale, IL
NPI 1457552044 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1457552044
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- License
- 1760740 (IL)
- Practice address
- 180 Hansen Court
Wood Dale, IL 60191 - Phone
- (630) 595-8200
- NPI assigned
- May 30, 2007
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1760740 | IL | MD | Developmental Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 1760740 | IL | Yes |
Addresses
Primary practice location
180 Hansen Court
Wood Dale, IL 60191
Mailing address
1025 Ashton CT
Streamwood, IL 60107-2906
Phone (630) 379-6835
Other providers in Wood Dale, IL
- Radhika Shah DMD LLC
- Anna M Rakowski
- Maryam Rauf
- Zeeshan Rauf
- Remington Molecular Woodale LLC
- Revolution Acupuncture & Herbs
- Andrea Reyes
- Kayla L Ryan
- Raquel Sandoval
- Barbara Irena Sasik
All providers in Wood Dale, 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 Jul 8, 2007. 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.