SearchIllinois1041C0700X

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 Llc
Inferred 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