Mary E Janusz in Moro - Developmental Therapist
Mary E Janusz - NPI 1689795882
Mary E Janusz is a Developmental Therapist in Moro, Illinois. Mary E Janusz practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Mary E Janusz is 1689795882. The last update date is 2007-07-08.
Mary E Janusz's current location address is 7022 Osage Dr, Moro, Illinois. You can contact this provider via phone number 6184072084. The mailing address for Mary E Janusz is 7022 Osage Dr, Moro, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary E Janusz |
|---|---|
| Address | 7022 Osage Dr, Moro, Illinois |
| Phone Number | 6184072084 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1689795882 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7022 Osage Dr |
|---|---|
| City | Moro |
| State | Illinois (IL) |
| Post Code | 620671630 |
| Phone Number | 6184072084 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
| Licence No | MJ92400699P |
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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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What is the unique 10-digit identifier code issued to Mary E Janusz by the Centers for Medicare & Medicaid Services?
The Mary E Janusz has been assigned the NPI (National Provider Identifier) 1689795882 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Mary E Janusz's physical address?
The Mary E Janusz is physically located at 7022 Osage Dr, in the city of Moro, IL, with the postal code 620671630.
What is Mary E Janusz's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary E Janusz's specialized field of practice is Developmental Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 222Q00000X.
On what date did the Mary E Janusz receive its 1689795882 assignment from the Centers for Medicare & Medicaid Services?
The Mary E Janusz was assigned its 1689795882 by the Centers for Medicare & Medicaid Services on 2007-04-03.
When was the information regarding Mary E Janusz most recently updated?
The details pertaining to the Mary E Janusz, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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