Susan M. Dummer LLC

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Legal business name

SUSAN M. DUMMER LLC

Practice address

122 Braxton Way
Grayslake, IL 60030-3493

Phone

(847) 767-3370

Fax

(847) 223-0032

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Susan M. Dummer

Title

Developmental Therapist

Phone

(847) 767-3370

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669593570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BRAXTON WAY",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600303493",
            "telephone_number": "847-767-3370",
            "fax_number": "847-223-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 BRAXTON WAY",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600303493",
            "telephone_number": "847-767-3370",
            "fax_number": "847-223-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN M. DUMMER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUMMER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DEVELOPMENTAL THERAPIST",
        "authorized_official_telephone_number": "847-767-3370"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmental Therapist in Grayslake, IL
• Providers in Grayslake, 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 22, 2020; 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.