Joanne Carbonell-Rodri in Chicago - Developmental Therapist

Joanne Carbonell-Rodri - NPI 1508909797

Joanne Carbonell-Rodri is a Developmental Therapist in Chicago, Illinois. Joanne Carbonell-Rodri practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Joanne Carbonell-Rodri is 1508909797. The last update date is 2007-07-08.

Joanne Carbonell-Rodri's current location address is 2800 W Jerome St, Chicago, Illinois. You can contact this provider via phone number 7735080329 and fax number 7732748685. The mailing address for Joanne Carbonell-Rodri is 2800 W Jerome St, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Joanne Carbonell-Rodri
Address 2800 W Jerome St, Chicago, Illinois
Phone Number 7735080329
Fax Number 7732748685
Sole Proprietor Y
Credentials DT

NPI Number Detail

NPI Number 1508909797
Provider Enumeration Date 2007-02-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2800 W Jerome St
City Chicago
State Illinois (IL)
Post Code 606451231
Phone Number 7735080329
Fax Number 7732748685

Provider's Primary Taxonomy Detail

Speciality Developmental Therapist
Taxonomy 222Q00000X
Definition:
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
JC54880398P IL EARLY INTERVENTION PROVID

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FAQs about Joanne Carbonell-Rodri

What is the Joanne Carbonell-Rodri's unique identification number?

The Joanne Carbonell-Rodri has been assigned the NPI (National Provider Identifier) Number 1508909797 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Joanne Carbonell-Rodri is geographically located?

The Joanne Carbonell-Rodri is physically situated at the following location: 2800 W Jerome St, Chicago, IL, 606451231.

What is the Joanne Carbonell-Rodri's specialty and taxonomy code?

The Joanne Carbonell-Rodri's specialty is Developmental Therapist, and the corresponding taxonomy code is 222Q00000X.

On what date did Joanne Carbonell-Rodri receive its 1508909797 assignment from the Centers for Medicare & Medicaid Services?

The Joanne Carbonell-Rodri was assigned its 1508909797 on 2007-02-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Joanne Carbonell-Rodri, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Joanne Carbonell-Rodri, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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