Jaime Boudros Mossman
Developmental Therapist · Villa Park, IL
Practice location
32 S Charles AveVilla Park, IL 60181-2618
- Phone
- (630) 204-3366
NPI record
- NPI
- 1972624609
- Entity type
- Individual (Type 1)
- Enumeration date
- April 2, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Developmental Therapist Primary | 222Q00000X |
JB23770301P | IL |
About Jaime Mossman
Jaime Boudros Mossman is a healthcare provider registered in the NPI registry with the primary taxonomy Developmental Therapist (code 222Q00000X). The practice location is 32 S Charles Ave, Villa Park, IL 60181-2618. The NPI number 1972624609 was assigned on April 2, 2007 and the record was last updated on July 8, 2007.
Jaime Mossman lists a license in the registry: #JB23770301P (IL) for Developmental Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jaime Boudros Mossman?
The NPI number is 1972624609.
What is the phone number of Jaime Mossman?
The phone number listed for the practice location is (630) 204-3366.
Where is Jaime Mossman located?
32 S Charles Ave, Villa Park, IL 60181-2618.
What is the taxonomy code for Jaime Mossman?
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.
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