Provider Demographics
NPI:1558680520
Name:DUYM, NANNETTE MARIE
Entity Type:Individual
Prefix:MRS
First Name:NANNETTE
Middle Name:MARIE
Last Name:DUYM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4696 PLYMOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:YORKVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60560-6034
Mailing Address - Country:US
Mailing Address - Phone:815-260-8688
Mailing Address - Fax:
Practice Address - Street 1:901 FARRAGUT PL
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-6009
Practice Address - Country:US
Practice Address - Phone:708-738-0852
Practice Address - Fax:815-582-3697
Is Sole Proprietor?:No
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist