Deborah Bala Houlihan, | |
830 S Addison Ave, Villa Park, IL 60181-2877 | |
(630) 620-4433 | |
(630) 620-1148 |
Full Name | Deborah Bala Houlihan |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 830 S Addison Ave, Villa Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861509697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (Illinois) | Primary |
Provider Name | Easter Seals Dupage And The Fox Valley Region |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1568460681 PECOS PAC ID: 7113963919 Enrollment ID: O20050701000395 |
Mailing Address | Practice Location Address |
---|---|
Deborah Bala Houlihan, 830 S Addison Ave, Villa Park, IL 60181-2877 Ph: (630) 620-4433 | Deborah Bala Houlihan, 830 S Addison Ave, Villa Park, IL 60181-2877 Ph: (630) 620-4433 |
Marylu Ann Olsen, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 830 S Addison Ave, Villa Park, IL 60181 Phone: 630-620-4433 Fax: 630-620-1148 | |
Emily Marie Muzzy, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 S Addison Ave, Villa Park, IL 60181 Phone: 630-620-4433 Fax: 630-620-1148 | |
Jessica R Patterson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 S Addison Ave, Villa Park, IL 60181 Phone: 630-620-4433 Fax: 630-620-1148 | |
Diane Fritts-ryan, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 830 S Addison Ave, Villa Park, IL 60181 Phone: 630-620-4433 Fax: 630-620-1148 | |
Ms. Namrata N Shah, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 S Addison Ave, Villa Park, IL 60181 Phone: 630-620-4433 Fax: 630-620-1148 | |
Jennifer B. Everett, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 S Addison Ave, Villa Park, IL 60181 Phone: 630-620-4433 Fax: 630-620-1148 | |
Carrie B. Booth, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 S Addison Ave, Villa Park, IL 60181 Phone: 630-620-4433 Fax: 630-620-1148 |