DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IRENE DI MINERVINO, DT

Active Sole Proprietor

IRENE DI MINERVINO, DT is a Developmental Therapist healthcare provider located in PARK RIDGE, Illinois. NPI 1790068443 is currently active in the NPPES registry. Verify at CMS.

Developmental Therapist · PARK RIDGE, IL

Registration Details

NPI Number
1790068443
Provider Type
Individual
Gender
Female
NPI Issued
Sep 20, 2011 (14.879277317824 yrs)
Last Updated
Apr 24, 2018
License
IP25370711P (IL)
Sole Proprietor
Yes

Practice Information

Address
1208 ELM ST
PARK RIDGE, IL, 600683368
Browse IL providers · Browse ZIP 60068
Phone
2245925862
Fax
8884915663
Primary Specialty
Developmental Therapist
222Q00000X

Other Developmental Therapist Providers in PARK RIDGE, IL

Name Credential NPI
MRS. DEANNA JORDAN 1811106172
GEORGIA GANN 1215166228
MS. KIRSTEN LARSON M.ED 1487939047
SANDRA KOLJOVIC 1871246629
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.