Healthcare Provider Details

I. General information

NPI: 1710408935
Provider Name (Legal Business Name): CHERIE A LAAPERI PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1711 N. CLEVELAND AVENUE
CHICAGO IL
60614
US

IV. Provider business mailing address

1633 N. CLEVELAND AVENUE LEARNING DIAGNOSTICS C/O ST MICHAEL'S OF OLD TOWN
CHICAGO IL
60614
US

V. Phone/Fax

Practice location:
  • Phone: 312-642-6693
  • Fax:
Mailing address:
  • Phone: 312-642-6693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number1908170
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: