Elece Douglas

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

ELECE DOUGLAS

Practice address

17309 Holmes Ave
Hazel Crest, IL 60429-1710

Phone

(708) 335-3519

Fax

(708) 335-3519

NPI assigned

Oct 7, 2009

Organization subpart

No

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

Authorized official

Name

Elece Douglas

Title

Develomental Therapist

Phone

(708) 335-3519

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1578898649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17309 HOLMES AVE",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604291710",
            "telephone_number": "708-335-3519",
            "fax_number": "708-335-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17309 HOLMES AVE",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604291710",
            "telephone_number": "708-335-3519",
            "fax_number": "708-335-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECE DOUGLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "ELECE",
        "authorized_official_title_or_position": "DEVELOMENTAL THERAPIST",
        "authorized_official_telephone_number": "708-335-3519"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rasaq Durojaiye, APRN
• Julian Eaton Jr.
• Lauren Elizabeth Eberlin, NP
• Brooke Ann Egan, PTA
• Lara Eiler, PT
• Letty Elengical, MD
• Tarek R Elsayed, PT, DPT
• Epic Med LLC
• Eric James Ericson, MD
• Esam Jumani D.D.S.,P.C.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.