Provider Demographics
NPI:1750125985
Name:LANDEROS, DEBORAH D
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:D
Last Name:LANDEROS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1686 JEFFREY AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60139-2615
Mailing Address - Country:US
Mailing Address - Phone:630-670-6751
Mailing Address - Fax:
Practice Address - Street 1:340 W BUTTERFIELD RD STE LLB
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-5024
Practice Address - Country:US
Practice Address - Phone:630-474-8919
Practice Address - Fax:630-982-4082
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-21
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health