Organization
DEVELOPMENTAL DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA CARYN O'HALLORAN (OWNER)
(630) 209-1650
Entity
Organization
Contact information
Practice address
612 S CAMBRIDGE AVE, ELMHURST, IL 60126-4045
(630) 209-1650
Mailing address
612 S CAMBRIDGE AVE, ELMHURST, IL 60126-4045
(630) 209-1650
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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