Doctor Name: | DINA DEVRIES |
NPI Number: | 1144456534 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DTS,EVALUATOR |
License Number: | DD35310499P |
Business Practice Address: | 1512 Gamon Rd Wheaton, IL - 601897406 |
Business Phone Number: | 6304627577 |
Business Fax Number: | 6304627577 |
Mailing Address: | 1512 Gamon Rd, WHEATON |
State: | IL |
Postal Code: | 601897406 |
Phone Number: | 6304627577 |
Fax Number: | 6304627577 |
NPI Enumeration Date: | 05/31/2009 |
NPI Last Update Date: | 05/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | DD35310499P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |