Provider Demographics
NPI:1881818177
Name:DE BATTISTA, ANN M (MA)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:M
Last Name:DE BATTISTA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 974
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-0974
Mailing Address - Country:US
Mailing Address - Phone:773-805-3885
Mailing Address - Fax:847-568-0817
Practice Address - Street 1:8128 CRAWFORD AVE
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-3330
Practice Address - Country:US
Practice Address - Phone:773-805-3885
Practice Address - Fax:847-568-0817
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist