NPI 1114639895

Claudia Sevilla Nieto

Practitioner Developmental - Behavioral Pediatrics Physician Lake Bluff, IL

Practice location

Address: 917 Sherwood Dr STE 201, Lake Bluff, IL 60044-2235
Phone: (877) 486-4140
Mailing address: 1389 Wincanton Dr, Deerfield, IL 60015-2337

Registered specialties

Developmental - Behavioral Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080P0006X Licence RBT-22-226748 (IL)

Other Pediatrics providers in Illinois →

Registry record

NPI: 1114639895
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Dec 2022
Record last updated: 14 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.