IndividualActive
Bertha Jasso-Nunez
NPI 1184178378 · Early Intervention Provider Agency · South Holland, IL
Provider details
- NPI number
- 1184178378
- Entity type
- Individual
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
17124 Ingleside Ave
South Holland, IL 60473-3506
Phone: (773) 621-9289
Approximate (ZIP-level) locationGet directions
Mailing address
17124 Ingleside Ave
South Holland, IL 60473-3506
Registry dates
- Enumerated
- 2016-08-05
- Last updated
- 2016-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.