Crystal Dior Antwanette Belk

Individual provider Active NPI Developmental Therapist · Hazel Crest, IL

NPI 1629945845 · NPPES record last updated Oct 24, 2025

Key facts

NPI
1629945845
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
3519 Chestnut Dr
Hazel Crest, IL 60429-1044
Phone
(312) 371-4024
NPI assigned
Oct 22, 2025
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Belk Developmental Therapy, LLC Single Specialty Current
since Dec 7, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
222Q00000X Yes

Addresses

Primary practice location

3519 Chestnut Dr
Hazel Crest, IL 60429-1044

Mailing address

7617 Madison Ave
Hammond, IN 46324-2635
Phone (312) 371-4024

Other providers in Hazel Crest, IL

All providers in Hazel Crest, IL · Developmental Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.