| Jennifer Cynthia Kubacik, OT | |
|
2000 Lake Ave, Woodstock, IL 60098-7401 | |
| (815) 337-7100 | |
| (815) 337-4793 |
| Full Name | Jennifer Cynthia Kubacik |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 2000 Lake Ave, Woodstock, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609390087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | 056010930 (Illinois) | Primary |
| Provider Name | Mercy Health System Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031111000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Cynthia Kubacik, OT 2000 Lake Ave, Woodstock, IL 60098-7401 Ph: (815) 337-7100 | Jennifer Cynthia Kubacik, OT 2000 Lake Ave, Woodstock, IL 60098-7401 Ph: (815) 337-7100 |
Mrs. Cecile Vitualla Montezon, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2384 Linden Dr, Woodstock, IL 60098 Phone: 815-236-6609 | |
Camille Banay, O.T. Occupational Therapist Medicare: Medicare Enrolled Practice Location: 951 Tara Ct, Woodstock, IL 60098 Phone: 224-242-5129 | |
Karla M Sujak, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2406 Hartland Rd, Woodstock, IL 60098 Phone: 815-338-0312 | |
Corinne Renner, OTR/L, CLT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3703 Doty Rd, Mob 1 Suite 5, Woodstock, IL 60098 Phone: 815-334-3841 | |
Jennifer Maple, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 344 S Tryon St, Woodstock, IL 60098 Phone: 847-530-8065 | |
Mrs. Cari Lynn Stilke, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2211 Dean St, Woodstock, IL 60098 Phone: 815-790-1026 | |
Kimberly Ratway, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2914 S Country Club Rd, Woodstock, IL 60098 Phone: 815-334-8134 |