Audrey Abboreno
Individual provider Active NPI Developmental Therapist · Barrington, IL
NPI 1487285128 · NPPES record last updated Jan 31, 2020
Key facts
- NPI
- 1487285128
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 69 Lake Shore Dr
Barrington, IL 60010-1414 - Phone
- (217) 653-6522
- NPI assigned
- Jan 31, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Therapy | Developmental Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | IL | Yes |
Addresses
Primary practice location
69 Lake Shore Dr
Barrington, IL 60010-1414
Mailing address
69 Lake Shore Dr
Barrington, IL 60010-1414
Phone (217) 653-6522
Other providers in Barrington, IL
- Abdulrahman Azmy Abutaleb
- Accelerated Rehabiliation Centers LTD
- Accurate Health Check Lab LLC
- Action Orthopaedic Medical Equipment
- Addus Hospice of Illinois, LLC
All providers in Barrington, 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 Jan 31, 2020. 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.