Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFERY SIDDALL
Active Sole ProprietorJEFFERY SIDDALL is a Developmental Therapist healthcare provider located in OAK BROOK, Illinois. NPI 1093371536 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · OAK BROOK, IL
Registration Details
- NPI Number
- 1093371536
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 9, 2019 (7.296846716467 yrs)
- Last Updated
- Jul 23, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
1010 JORIE BLVDOAK BROOK, IL, 605232215Browse IL providers · Browse ZIP 60523
- Phone
- 6307105729
- Primary Specialty
-
Developmental Therapist
222Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.