Kayla Marie Camburn
Individual provider Active NPI Developmental Therapist · Morton Grove, IL
NPI 1962993980 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1962993980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 8613 Fernald Ave
Morton Grove, IL 60053-2822 - Phone
- (630) 787-0482
- Fax
- (630) 787-0484
- NPI assigned
- May 24, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
8613 Fernald Ave
Morton Grove, IL 60053-2822
Mailing address
8613 Fernald Ave
Morton Grove, IL 60053-2822
Phone (630) 787-0482
Other providers in Morton Grove, IL
- Margaret Burnham
- Michael Burton Jr.
- Cindy Buss
- Cal Devon Urgent Care Inc
- Cal Devon Urgent Care Inc
- Care Bridge LLC
- Care With Compassion Home Services LLC
- Sammy Caronongan
- Michelle Carter
- James G Catane
All providers in Morton Grove, 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 Jun 16, 2018. 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.