Provider Demographics
NPI:1891016713
Name:CHRYSOGELOS, BRITTNEY ANN (M ED)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:ANN
Last Name:CHRYSOGELOS
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 E LORRAINE AVE
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:IL
Mailing Address - Zip Code:60101-4613
Mailing Address - Country:US
Mailing Address - Phone:630-333-3312
Mailing Address - Fax:630-787-0484
Practice Address - Street 1:203 E LORRAINE AVE
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:IL
Practice Address - Zip Code:60101-4613
Practice Address - Country:US
Practice Address - Phone:630-333-3312
Practice Address - Fax:630-787-0484
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-15
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist