| Katherine Lively, | |
|
350 S Greenleaf St Ste 403, Gurnee, IL 60031-5709 | |
| (847) 596-7640 | |
| (847) 596-7641 |
| Full Name | Katherine Lively |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 350 S Greenleaf St Ste 403, Gurnee, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528835782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 056-015740 (Illinois) | Primary |
| Provider Name | Illinois Bone And Joint Institute Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1205922432 PECOS PAC ID: 6002814878 Enrollment ID: O20061110000331 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Lively, 900 Rand Rd Ste 300, Des Plaines, IL 60016-2359 Ph: (847) 324-3976 | Katherine Lively, 350 S Greenleaf St Ste 403, Gurnee, IL 60031-5709 Ph: (847) 596-7640 |
Cheryl Oommen, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 S Greenleaf St, Suite 403, Gurnee, IL 60031 Phone: 847-596-7640 Fax: 847-596-7641 | |
Mckenna Ann Donegon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 17281 W Maple Ln, Gurnee, IL 60031 Phone: 920-214-3032 | |
Marie Pedrola, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 Tower Ct Ste A, Gurnee, IL 60031 Phone: 847-336-1520 Fax: 847-336-1098 | |
Stacy Lynne Calcagnino, MSOTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1800 Nations Dr, Suite 208, Gurnee, IL 60031 Phone: 847-477-9034 | |
Marci Simmons, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3775 Grand Ave, Gurnee, IL 60031 Phone: 847-231-3141 | |
Twisha Patel, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5363 Sequoia Ct, Gurnee, IL 60031 Phone: 224-627-2859 | |
Jessica Weiland, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 S Greenleaf St, Suite 403, Gurnee, IL 60031 Phone: 847-596-7640 Fax: 847-596-7641 |