Maureen M. Foertsch

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

17310 Lathrop Ave
East Hazel Crest, IL 60429

Phone

(708) 912-6991

Fax

(708) 960-4965

NPI assigned

Oct 5, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Maureen Bodnar Foertsch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1760717029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17310 LATHROP AVE",
            "city": "EAST HAZEL CREST",
            "state": "IL",
            "postal_code": "60429",
            "telephone_number": "708-912-6991",
            "fax_number": "708-960-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17310 LATHROP AVE",
            "city": "EAST HAZEL CREST",
            "state": "IL",
            "postal_code": "60429",
            "telephone_number": "708-912-6991",
            "fax_number": "708-960-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOERTSCH",
        "first_name": "MAUREEN",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "FOERTSCH",
            "middle_name": "BODNAR",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adriane Easte, CADC
• Melody Easterling
• Marne Chelsea Egarton
• Tony C. Emling, CADC
• Teresa Fic, CADC
• Kalvin Fortenberry, MA CAADC ATE
• Lydena Franklin
• Liz Frausto, B.A.
• Christopher Garbrecht
• Susan Leonila Garcia

• Developmental Therapist in East Hazel Crest, IL
• Providers in East Hazel Crest, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.