IndividualActive
Claudia Sevilla Nieto
NPI 1114639895 · Developmental - Behavioral Pediatrics Physician · Lake Bluff, IL
Provider details
- NPI number
- 1114639895
- Entity type
- Individual
- Primary specialty
- Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-22-226748 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
917 Sherwood Dr Ste 201
Lake Bluff, IL 60044-2235
Phone: (877) 486-4140
Street-level locationGet directions
Mailing address
1389 Wincanton Dr
Deerfield, IL 60015-2337
Registry dates
- Enumerated
- 2022-12-14
- Last updated
- 2022-12-14
- Certified
- 2022-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.