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

MICHELLE D IVY

Active Sole Proprietor

MICHELLE D IVY is a Developmental Therapist healthcare provider located in CHICAGO, Illinois. NPI 1912294091 is currently active in the NPPES registry. Verify at CMS.

Developmental Therapist · CHICAGO, IL

Registration Details

NPI Number
1912294091
Provider Type
Individual
Gender
Female
NPI Issued
Jul 8, 2011 (15.119415970495 yrs)
Last Updated
Jul 8, 2011
Sole Proprietor
Yes

Practice Information

Address
4119 W HARRISON ST
CHICAGO, IL, 606243549
Browse IL providers · Browse ZIP 60624
Phone
7083072191
Primary Specialty
Developmental Therapist
222Q00000X

Other Developmental Therapist Providers in CHICAGO, IL

Name Credential NPI
CHRISTINA G. COPELAND 1922193820
MS. JOANNE CARBONELL-RODRIGUEZ DT 1508909797
MS. AMY LOUISE BLACK DT 1942336672
ELIZABETH BENNEY MA DT CIMI 1306978903
SUSAN FECZKO STA 1043344211
JADWIGA POLEK 1275654949
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.