Heather Marie Davalle

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

HS02921114P Issued in IL

Practice address

1131 N Knollwood Dr
Palatine, IL 60067-2067

Phone

(847) 791-9164

NPI assigned

Aug 20, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1558760108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 N KNOLLWOOD DR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600672067",
            "telephone_number": "847-791-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 N KNOLLWOOD DR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600672067",
            "telephone_number": "847-791-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVALLE",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": "HS02921114P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Dankwah
• Marta Bohdanivna Danyleyko
• Praneet Dara
• Ela Dargiel, P.T.
• Kathleen Daun
• Luis M Davis, MD
• Katelyn Decker
• Mary T Deering, ACSW, LCSW, CADC
• Tatyana Degtyareva
• Loredana Tatiana Deichl, FNP-C

• Developmental Therapist in Palatine, IL
• Providers in Palatine, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.