Individual provider · Type 1 NPI

Nona Gillom

Developmental Therapist · Chicago, IL

NPI number 1063533206 Active

Practice location

1401 E 79th St
Chicago, IL 60619-4607

Call (773) 221-7171 Map

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: 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 experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1063533206

Nona Gillom's National Provider Identifier is 1063533206, issued on Apr 3, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.