Bonnie Jean Stewart in Lynwood - Developmental Therapist
Bonnie Jean Stewart - NPI 1912114703
Bonnie Jean Stewart is a Developmental Therapist in Lynwood, Illinois. Bonnie Jean Stewart practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Bonnie Jean Stewart is 1912114703. The last update date is 2007-07-08.
Bonnie Jean Stewart's current location address is 20552 Bluestem Pkwy, Lynwood, Illinois. You can contact this provider via phone number 7085075511 and fax number 7087577145. The mailing address for Bonnie Jean Stewart is 20552 Bluestem Pkwy, Lynwood, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bonnie Jean Stewart |
|---|---|
| Address | 20552 Bluestem Pkwy, Lynwood, Illinois |
| Phone Number | 7085075511 |
| Fax Number | 7087577145 |
| Sole Proprietor | Y |
| Credentials | CDS |
NPI Number Detail
| NPI Number | 1912114703 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 20552 Bluestem Pkwy |
|---|---|
| City | Lynwood |
| State | Illinois (IL) |
| Post Code | 604118549 |
| Phone Number | 7085075511 |
| Fax Number | 7087577145 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
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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 |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Bonnie Jean Stewart by the Centers for Medicare & Medicaid Services?
The Bonnie Jean Stewart has been issued the NPI (National Provider Identifier) 1912114703, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Bonnie Jean Stewart's physical address?
The Bonnie Jean Stewart is physically located at 20552 Bluestem Pkwy, in the city of Lynwood, IL, with the postal code 604118549.
What is Bonnie Jean Stewart's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bonnie Jean Stewart's area of specialization is Developmental Therapist, and the corresponding taxonomy code that categorizes this field of practice is 222Q00000X.
When did the Bonnie Jean Stewart receive its 1912114703?
The Bonnie Jean Stewart was issued its 1912114703 on 2007-05-17, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Bonnie Jean Stewart most recently updated or revised?
The information pertaining to Bonnie Jean Stewart, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.