Caroline D Copeland, OTR/L | |
129 E Lake St, Bloomingdale, IL 60108-1104 | |
(630) 295-8600 | |
Not Available |
Full Name | Caroline D Copeland |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 129 E Lake St, Bloomingdale, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730492125 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 056002224 (Illinois) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689141376 PECOS PAC ID: 2163339722 Enrollment ID: O20200427002510 |
Mailing Address | Practice Location Address |
---|---|
Caroline D Copeland, OTR/L 7639 Wilcox St, Forest Park, IL 60130-1818 Ph: (708) 771-4819 | Caroline D Copeland, OTR/L 129 E Lake St, Bloomingdale, IL 60108-1104 Ph: (630) 295-8600 |
Riya Patel, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 Superior Dr, Bloomingdale, IL 60108 Phone: 551-556-2876 | |
Andrea Jacqueline Demola, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 454 Vinings Dr, Bloomingdale, IL 60108 Phone: 856-324-3750 | |
Tanja Popovich, MOT OTRL CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 220 Springfield Dr Ste 300, Bloomingdale, IL 60108 Phone: 630-946-2354 | |
Lead The Way Therapy Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 161 Rosedale Ct, Bloomingdale, IL 60108 Phone: 630-407-7749 | |
Mitzy Perez, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 473 W Army Trail Rd Ste 107, Bloomingdale, IL 60108 Phone: 224-520-8562 | |
Mrs. Mary Kathryn Peterson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 165 S Bloomingdale Rd, Bloomingdale, IL 60108 Phone: 630-980-8700 |