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

MS. Debra G. Siddall, DEVELOPMENTALTHERAP

Individual provider Developmental Therapist · NPI 1619195062

MS. Debra G. Siddall, DEVELOPMENTALTHERAP is a Developmental Therapist in Country Club Hills, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

4129 177th St
Country Club Hills, IL 60478-4859
Phone: (708) 289-8730
Show map & directions

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

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X (IL)

Record details

NPI number1619195062
Entity typeIndividual (Type 1)
GenderFemale
Credentials DEVELOPMENTALTHERAP
Sole proprietorYes
NPI enumeratedApril 23, 2007
Last updated in NPPESJuly 8, 2007

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