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Search › Illinois › Developmental Therapist

Megan Provenzale

NPI 1487350476 · on the registry since 2023 · sole proprietor

Practice

Address
4201 Lacey Rd
Downers Grove, IL 60515
Phone
(630) 551-6044

Registry record

Primary taxonomy
Developmental Therapist
222Q00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-02-01

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