- Practice location
- 4619 N Ravenswood Ave Ste 204, Chicago, IL 60640-4579
- Phone
- 773-697-7333
- Fax
- —
- Last updated
- June 22, 2023
4619 N. Ravenswood Ave. Suite 204 Chicago, Il 60640 is a healthcare organization based in Chicago, IL. 4619 N. Ravenswood Ave. Suite 204 Chicago, Il 60640 practices in Chicago, IL. The NPI Number for 4619 N. Ravenswood Ave. Suite 204 Chicago, Il 60640 is 1992481246. The current practice location address for 4619 N. Ravenswood Ave. Suite 204 Chicago, Il 60640 is 4619 N Ravenswood Ave Ste 204, Chicago, IL 60640-4579 and can be reached out via phone at 773-697-7333.
Provider Profile Details
- NPI Number
- 1992481246
- Provider Name
- 4619 N. Ravenswood Ave. Suite 204 Chicago, Il 60640
- Provider Entity Type
- Organization
- Address
- 4619 N Ravenswood Ave Ste 204, Chicago, IL 60640-4579
- Phone Number
- 773-697-7333
- Primary Taxonomy
- Occupational Therapy Assistant · 224Z00000X
- Organization Subpart
- No
- Authorized Official
- Maya Elena E Horowitz, COTA/L · Occupational Therapy Assistant · 773-797-4155
- Provider Enumeration Date
- June 22, 2023
- Last Update Date
- June 22, 2023
- Certification Date
- June 22, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4619 N Ravenswood Ave Ste 204
Chicago, IL 60640-4579 - City
- Chicago
- State
- Illinois
- Zip
- 60640-4579
- Phone Number
- 773-697-7333
Provider Business Mailing Address Details
- Address
- 4619 N Ravenswood Ave Ste 204
Chicago, IL 60640-4579 - City
- Chicago
- State
- IL
- Zip
- 60640-4579
License Information
- Taxonomy
- Occupational Therapy Assistant · 224Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 4619 N. Ravenswood Ave. Suite 204 Chicago, Il 60640?
The NPI number of 4619 N. Ravenswood Ave. Suite 204 Chicago, Il 60640 is 1992481246. It was assigned on June 22, 2023 and is currently active in the NPPES registry.
What is the specialty of 4619 N. Ravenswood Ave. Suite 204 Chicago, Il 60640?
4619 N. Ravenswood Ave. Suite 204 Chicago, Il 60640 is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X).
Where does 4619 N. Ravenswood Ave. Suite 204 Chicago, Il 60640 practice?
The practice location is 4619 N Ravenswood Ave Ste 204, Chicago, IL 60640-4579. The office can be reached at 773-697-7333 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992481246 directly on the NPPES registry website.