MD Developmental Agency LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

MD DEVELOPMENTAL AGENCY LLC

Practice address

1501 E 72ND St
Chicago, IL 60619-1511

Phone

(708) 253-9271

NPI assigned

Feb 16, 2023

Organization subpart

No

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

Authorized official

Name

Monique RobinsonNPI 1679770531

Title

Owner

Phone

(708) 253-9271

Specialties & licenses 1

Addresses

Other names 1

• Kier Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monique Shavon Robinson, MR16981203P

  • Developmental Therapist
  • Harvey, IL
  • NPI 1679770531
  NPD Authorized official

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1891493144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 SAINT ROSE PKWY STE 216",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747789",
            "telephone_number": "708-253-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E 72ND ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606191511",
            "telephone_number": "708-253-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD DEVELOPMENTAL AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-253-9271"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kier",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mcy Dental PLLC (Dens Dental Studio)
• Urainea E McZeal, IBCLC
• MD @ Home Illinois, SC (Housecall Physicians of Illinois, SC)
• MD Care Center SC
• MD Developmental Agency LLC
• MD Family Medical Practice LLC
• MD Medical, LLC (Luxury Psychiatry and Medical Spa)
• MD Orthotic & Prosthetic Laboratory, Inc. (Comprehensive Prosthetics & Orthotics)
• MD Orthotic and Prosthetic Laboratory, Inc
• MD2 Chicago

• Early Intervention Provider Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.