Cassondra Marie Nation

Individual provider Active NPI Developmental Therapist · Chatham, IL

NPI 1780178210 · NPPES record last updated Dec 3, 2025

Key facts

NPI
1780178210
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
409 Eagle Ridge Dr
Chatham, IL 62629-2008
Phone
(217) 280-3726
Fax
(217) 670-2582
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

409 Eagle Ridge Dr
Chatham, IL 62629-2008

Mailing address

409 Eagle Ridge Dr
Chatham, IL 62629-2008
Phone (217) 280-3726

Other providers in Chatham, IL

All providers in Chatham, IL · Developmental Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.