Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Jaime Boudros Mossman

Individual provider Developmental Therapist · NPI 1972624609

Mrs. Jaime Boudros Mossman is a Developmental Therapist in Villa Park, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

32 S Charles Ave
Villa Park, IL 60181-2618
Phone: (630) 204-3366
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X · Licence JB23770301P (IL)

Record details

NPI number1972624609
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 2, 2007
Last updated in NPPESJuly 8, 2007

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