Individual provider · Type 1 NPI

Jeffery Siddall

Developmental Therapist · Oak Brook, IL

NPI number 1093371536 Active

Practice location

1010 Jorie Blvd
Oak Brook, IL 60523-2215

Mailing address

428 Wesley Ave Apt 2N
Oak Park, IL 60302-3977

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…

38 other providers at this address

About NPI 1093371536

Jeffery Siddall's National Provider Identifier is 1093371536, issued on May 9, 2019. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Oak Brook, IL. The record was last updated on Jul 23, 2020.