Jeffery Siddall

Developmental Therapist · Oak Brook, IL

Individual Active NPI

NPI number 1093371536

Practice location

1010 Jorie Blvd
Oak Brook, IL 60523-2215

Phone: (630) 710-5729

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NPI record

NPI: 1093371536
Entity type: Individual (Type 1)
Enumeration date: May 9, 2019
Last updated: July 23, 2020
Certified: July 23, 2020
Sole proprietor: Yes

Specialties & taxonomy codes

Taxonomy	Code	License	State
Developmental Therapist Primary	`222Q00000X`	—	—

Mailing address

428 Wesley Ave Apt 2n
Oak Park, IL 60302-3977

Phone: (708) 655-0864

About Jeffery Siddall

Jeffery Siddall is a healthcare provider registered in the NPI registry with the primary taxonomy Developmental Therapist (code 222Q00000X). The practice location is 1010 Jorie Blvd, Oak Brook, IL 60523-2215. The NPI number 1093371536 was assigned on May 9, 2019 and the record was last updated on July 23, 2020.

Frequently asked questions

What is the NPI number of Jeffery Siddall?

The NPI number is 1093371536.

What is the phone number of Jeffery Siddall?

The phone number listed for the practice location is (630) 710-5729.

Where is Jeffery Siddall located?

1010 Jorie Blvd, Oak Brook, IL 60523-2215.

What is the taxonomy code for Jeffery Siddall?

The primary taxonomy code is 222Q00000X – Developmental Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.