Christine Mayworm in Libertyville - Developmental Therapist

Christine Mayworm - NPI 1972713022

Christine Mayworm is a Developmental Therapist in Libertyville, Illinois. Christine Mayworm practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Christine Mayworm is 1972713022. The last update date is 2007-07-08.

Christine Mayworm's current location address is 150 Blueberry Rd, Libertyville, Illinois. You can contact this provider via phone number 8478160013 and fax number 8476803311. The mailing address for Christine Mayworm is 150 Blueberry Rd, Libertyville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Christine Mayworm
Address 150 Blueberry Rd, Libertyville, Illinois
Phone Number 8478160013
Fax Number 8476803311
Sole Proprietor Y
Credentials DTH, PSYCH

NPI Number Detail

NPI Number 1972713022
Provider Enumeration Date 2007-05-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 150 Blueberry Rd
City Libertyville
State Illinois (IL)
Post Code 600482167
Phone Number 8478160013
Fax Number 8476803311

Provider's Primary Taxonomy Detail

Speciality Developmental Therapist
Taxonomy 222Q00000X
Licence No CM08170993P
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
CM08170993P IL EARLY INTERVENTION NUMBER

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FAQs about Christine Mayworm

What is the unique 10-digit identification code issued to Christine Mayworm by the Centers for Medicare & Medicaid Services?

The Christine Mayworm has been assigned the NPI (National Provider Identifier) 1972713022 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Christine Mayworm is physically located?

The Christine Mayworm is situated at the following address: 150 Blueberry Rd, Libertyville, IL 600482167.

What is the Christine Mayworm's area of specialization and corresponding taxonomy classification?

The Christine Mayworm's specialty field is Developmental Therapist, and it falls under the taxonomy code 222Q00000X, which categorizes healthcare providers based on their specialties.

On what date did Christine Mayworm receive its 1972713022 assignment from the Centers for Medicare & Medicaid Services?

The Christine Mayworm was assigned its 1972713022 on 2007-05-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Christine Mayworm most recently updated or revised?

The details related to Christine Mayworm, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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