Search › Illinois › 1041C0700X
Mayra Douglas, LCSW
NPI 1356172233 · on the registry since 2024
Practice
- Address
- 136 W Lake St Ste 100
Bloomingdale, IL 60108 - Phone
- (630) 343-9528
- Organisation at this address
- Richard Nuccio Pc
Ryndak Physical Therapy, Ltd.
Pearl Health Care Services, Inc.
Hearing Professionals Of America LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
101YM0800X
1041C0700X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-11-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois