Mareen Itty, MOT | |
350 S Greenleaf St, Suite 403, Gurnee, IL 60031-5709 | |
(847) 596-7640 | |
(847) 596-7641 |
Full Name | Mareen Itty |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 9 Years |
Location | 350 S Greenleaf St, Gurnee, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821445404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 056011389 (Illinois) | Secondary |
225X00000X | Occupational Therapist | OTH-007857 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mayo Clinic - Arizona | 7012829930 | 1400 |
Provider Name | Mayo Clinic Arizona |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558332494 PECOS PAC ID: 7012829930 Enrollment ID: O20031105000782 |
Mailing Address | Practice Location Address |
---|---|
Mareen Itty, MOT 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 Ph: (480) 301-8000 | Mareen Itty, MOT 350 S Greenleaf St, Suite 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 |