Individual provider · Type 1 NPI
Roy Jean Tillman
Developmental Therapist · Chicago, IL
Practice location
2056 E 73rd St
Chicago, IL 60649-2904
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | 1981536 (IL) |
| Developmental Therapist | 222Q00000X | 1981534 (IL) |
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 1508118985
Roy Jean Tillman's National Provider Identifier is 1508118985, issued on Oct 9, 2012. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Chicago, IL. The record was last updated on Oct 9, 2012.