Tammie Areatha Durr
Individual provider Active NPI Developmental Therapist · Forest Park, IL
NPI 1972144541 · NPPES record last updated Oct 3, 2019
Key facts
- NPI
- 1972144541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 310 Lathrop Ave Apt 603
Forest Park, IL 60130-1480 - Phone
- (708) 692-5350
- NPI assigned
- Oct 3, 2019
- Sex
- Female
- Sole proprietor
- No
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
310 Lathrop Ave Apt 603
Forest Park, IL 60130-1480
Mailing address
310 Lathrop Ave Apt 603
Forest Park, IL 60130-1480
Phone (708) 692-5350
Other providers in Forest Park, IL
- Megan Dorn
- Jennifer Marie Doyle
- Dr. Karen Fields Inc
- Kristy L Driscoll
- Paul Francis Driscoll
- De'Jiah Edwards
- Kenneth U Ekechukwu
- Jennifer Elgin
- Sean Elliott
- Alexis Ellstrom
All providers in Forest Park, 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 Oct 3, 2019. 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.