Jeffery Siddall
Jeffery Siddall is a Developmental Therapist in Oak Brook, Illinois. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
1010 Jorie BlvdOak Brook, IL 60523-2215
Phone: (630) 710-5729
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
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Record details
| NPI number | 1093371536 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 9, 2019 |
| Last updated in NPPES | July 23, 2020 |
| Certification date | July 23, 2020 |
| Mailing address | 428 Wesley Ave Apt 2n, Oak Park, IL 60302-3977 |