Provider Demographics
NPI:1114251196
Name:DARBY, Z. FAITH (LMT)
Entity Type:Individual
Prefix:
First Name:Z.
Middle Name:FAITH
Last Name:DARBY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5S051 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-1767
Mailing Address - Country:US
Mailing Address - Phone:630-416-9632
Mailing Address - Fax:
Practice Address - Street 1:5S051 FAIRWAY DR
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-1767
Practice Address - Country:US
Practice Address - Phone:630-416-9632
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-24
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL227-009650225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist