Jennifer Jarvis
Individual provider Active NPI Developmental Therapist · Chatham, IL
NPI 1811010028 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1811010028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 405 W Spruce St
Chatham, IL 62629-1341 - Phone
- (217) 741-0851
- NPI assigned
- Apr 10, 2007
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
405 W Spruce St
Chatham, IL 62629-1341
Mailing address
405 W Spruce St
Chatham, IL 62629-1341
Other providers in Chatham, IL
- Joni Heard
- Maria I Hollo
- Michael Huber
- Independence Holding Co LLC
- Krista Ann Jackson
- James Robert Jirus
- Christina Johnston
- Jones Chiropractic SC
- Michael Robert Jones
- Crystal Lynn Jordan
All providers in Chatham, IL · Developmental Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.