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Contact Information

MARY A CHANEY, DT
1334 2ND ST S
CORDOVA, IL61242-9713
 Phone: 309-269-4631
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for MARY A CHANEY · (Female)

NPI Number 1003025404
Status Active
Credentials DT
Entity Individual
Enumeration date 05/22/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # MC03040206
  • IL Other MC03040206 DEVELOPMENTAL THERAPIST
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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