Individual provider · Type 1 NPI
Mia Chudzik
Developmental Therapist · Lisle, IL
Practice location
5711 Oak Ridge Way
Lisle, IL 60532-0377
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None 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 1902420615
Mia Chudzik's National Provider Identifier is 1902420615, issued on May 29, 2020. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Lisle, IL. The record was last updated on May 29, 2020.