Provider Demographics
NPI:1154654093
Name:STRAUGHTER, DOROTHY CROSS (MS/OTR-L)
Entity Type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:CROSS
Last Name:STRAUGHTER
Suffix:
Gender:F
Credentials:MS/OTR-L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9757 S LONGWOOD DR
Mailing Address - Street 2:HOME
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60643-1654
Mailing Address - Country:US
Mailing Address - Phone:773-779-5937
Mailing Address - Fax:
Practice Address - Street 1:9757 S LONGWOOD DR
Practice Address - Street 2:HOME
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60643-1654
Practice Address - Country:US
Practice Address - Phone:773-779-5937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.000513252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency