Provider Demographics
NPI:1164245205
Name:PATERNO, LILY (MMT, LPMT, MT-BC)
Entity type:Individual
Prefix:
First Name:LILY
Middle Name:
Last Name:PATERNO
Suffix:
Gender:F
Credentials:MMT, LPMT, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1815 AUTUMN DR APT 308
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-1180
Mailing Address - Country:US
Mailing Address - Phone:708-927-8775
Mailing Address - Fax:
Practice Address - Street 1:2255 ENTERPRISE DR
Practice Address - Street 2:
Practice Address - City:WESTCHESTER
Practice Address - State:IL
Practice Address - Zip Code:60154-5812
Practice Address - Country:US
Practice Address - Phone:708-965-4123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist