Provider Demographics
NPI:1508984238
Name:DIGUIDO, DOROTHEA S (MS, CTRS)
Entity Type:Individual
Prefix:MS
First Name:DOROTHEA
Middle Name:S
Last Name:DIGUIDO
Suffix:
Gender:F
Credentials:MS, CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16231 OAK AVE
Mailing Address - Street 2:
Mailing Address - City:OAK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60452-4111
Mailing Address - Country:US
Mailing Address - Phone:708-633-3535
Mailing Address - Fax:708-633-3368
Practice Address - Street 1:15900 S. CICERO AVE
Practice Address - Street 2:
Practice Address - City:OAK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60452-4111
Practice Address - Country:US
Practice Address - Phone:708-633-3535
Practice Address - Fax:708-633-3368
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist