| Kathryn O'brien, | |
|
2530 Ridge Ave, Evanston, IL 60201-2492 | |
| (847) 486-4140 | |
| Not Available |
| Full Name | Kathryn O'brien |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 2530 Ridge Ave, Evanston, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225623994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 056.014070 (Illinois) | Primary |
| Provider Name | Roots And Wings Therapeutic Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1902564420 PECOS PAC ID: 4284027806 Enrollment ID: O20220203000682 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn O'brien, 620 1/2 W Barry Ave Apt 2s, Chicago, IL 60657-4897 Ph: (612) 812-8388 | Kathryn O'brien, 2530 Ridge Ave, Evanston, IL 60201-2492 Ph: (847) 486-4140 |
Joanna Jeanne Josten, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2323 Mcdaniel Ave, Evanston, IL 60201 Phone: 847-905-1234 | |
Ms. Estherbeth Buchbinder, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8905 E Prairie Rd, Evanston, IL 60203 Phone: 847-674-8239 Fax: 847-763-8187 | |
Jessica L Siegman, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9120 E Prairie Rd, Evanston, IL 60203 Phone: 847-651-3257 | |
Jaime Jo Vehovsky, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2213 Noyes St, Evanston, IL 60201 Phone: 847-563-8261 | |
Alexa Brianne Gerdes, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1638 Maple Ave, Evanston, IL 60201 Phone: 877-486-4140 | |
Claudine Marie Holloway, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 719 Reba Pl, #2 S, Evanston, IL 60202 Phone: 847-570-9879 | |
Deepika Shanti Sethi, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2530 Ridge Ave, Evanston, IL 60201 Phone: 877-486-4140 |