Provider Demographics
NPI:1174046551
Name:LAVENTURE, APRIL M
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:M
Last Name:LAVENTURE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:M
Other - Last Name:GLUECKERT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MOTR/L
Mailing Address - Street 1:728 CLEVELAND RD
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-4806
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3443 S 55TH AVE
Practice Address - Street 2:
Practice Address - City:CICERO
Practice Address - State:IL
Practice Address - Zip Code:60804-3959
Practice Address - Country:US
Practice Address - Phone:219-552-1110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-18
Last Update Date:2017-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056008349225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist