Individual
DANIELLE BLAKEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13071 DUNMOOR DR, LEMONT, IL 60439-2741
(708) 792-0162
Mailing address
2600 WARRENVILLE RD STE 212, DOWNERS GROVE, IL 60515-1761
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-408285
IL
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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