DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DIOJANAE TERRY

MEDICARE: DIOJANAE TERRY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-23-299991IL

General Provider Information

NPI Number : 1720888555
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIOJANAE TERRY
Provider Business Mailing Address
First Line : 4108 FIELDSTONE RD STE A
Second Line :
City : CHAMPAIGN
State : IL
Zip : 61822-8808
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4108 FIELDSTONE RD STE A
Second Line :
City : CHAMPAIGN
State : IL
Zip : 61822-8808
Country : US
Telephone Number : 888-308-3728
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2025
Last Update Date : 03/19/2025

Similar Medicare Providers

1982542403 — ALEXIS HAMP
Practice Location Address:
4108 FIELDSTONE RD STE A
CHAMPAIGN, IL
61822-8808
Practice Phone: 779-435-0388
Practice Fax:
1831657030 — BREANNA INGLE
Practice Location Address:
4108 FIELDSTONE RD STE A
CHAMPAIGN, IL
61822-8808
Practice Phone: 630-945-4964
Practice Fax:
1609676576 — JADA THOMPSON
Practice Location Address:
4108 FIELDSTONE RD STE A
CHAMPAIGN, IL
61822-8808
Practice Phone: 888-308-3728
Practice Fax:
1427859271 — ZAKAIA PUMPHREY
Practice Location Address:
4108 FIELDSTONE RD STE A
CHAMPAIGN, IL
61822-8808
Practice Phone: 217-904-9106
Practice Fax:
1508667361 — MADISON L CONKLEN
Practice Location Address:
4108 FIELDSTONE RD STE A
CHAMPAIGN, IL
61822-8808
Practice Phone: 888-308-3728
Practice Fax:
1831999655 — MANUEL DEJESUS BURGOS JR.
Practice Location Address:
4108 FIELDSTONE RD STE A
CHAMPAIGN, IL
61822-8808
Practice Phone: 312-838-9555
Practice Fax:

Directions to “ DIOJANAE TERRY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.