Individual
JENNIFER MARIE NYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
2125 WATER CHASE DR, NEW LENOX, IL 60451-4813
(708) 307-5462
(708) 221-7173
Mailing address
2125 WATER CHASE DR, NEW LENOX, IL 60451-4813
(708) 307-5462
(708) 221-7173
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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