Healthcare Provider Details

I. General information

NPI: 1174459424
Provider Name (Legal Business Name): LILLIAN MARIE DOWNING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4128 AIRPORT RD
BARTONVILLE IL
61607-2107
US

IV. Provider business mailing address

3 SEQUOIA CT APT 151
BLOOMINGTON IL
61704-4873
US

V. Phone/Fax

Practice location:
  • Phone: 309-323-8675
  • Fax:
Mailing address:
  • Phone: 815-403-7299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-547838
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: