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

MS. Elleis Miranda, BS

Individual provider Developmental Therapist · NPI 1164048567

MS. Elleis Miranda, BS is a Developmental Therapist in Chicago, Illinois. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

304 N Loomis St
Chicago, IL 60607-1147
Phone: (312) 243-8487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1409 W Carroll Ave, Chicago, IL 60607-1105 — (312) 733-0883

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1164048567
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS
Sole proprietorNo
NPI enumeratedJune 22, 2020
Last updated in NPPESMay 9, 2022
Certification dateMay 9, 2022
Mailing address304 N Loomis St, Chicago, IL 60607-1147

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