Individual provider · Type 1 NPI

Stacy Kathleen Hillenburg

Developmental Therapist · Bolingbrook, IL

NPI number 1134427263 Active

Practice location

11 Lily Ct
Bolingbrook, IL 60440-3263

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 1134427263

Stacy Kathleen Hillenburg's National Provider Identifier is 1134427263, issued on Mar 15, 2011. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Bolingbrook, IL. The record was last updated on Mar 15, 2011.