Michelle Tucker, | |
3601 S Harlem Ave, Berwyn, IL 60402-3219 | |
(708) 749-4160 | |
Not Available |
Full Name | Michelle Tucker |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 3601 S Harlem Ave, Berwyn, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730895525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 056.013957 (Idaho) | Primary |
Provider Name | Cortlyn Therapy Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1235725730 PECOS PAC ID: 8729495684 Enrollment ID: O20210324000045 |
Mailing Address | Practice Location Address |
---|---|
Michelle Tucker, 5100 W 96th St Apt 230, Oak Lawn, IL 60453-3819 Ph: (610) 233-8183 | Michelle Tucker, 3601 S Harlem Ave, Berwyn, IL 60402-3219 Ph: (708) 749-4160 |
Lizette Herrera Quinones, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1305 Maple Ave, Berwyn, IL 60402 Phone: 708-268-8679 Fax: 708-689-4141 | |
Mr. Angelino Hidalgo, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3205 Clinton Ave, # 3w, Berwyn, IL 60402 Phone: 773-454-9732 | |
Karen Elizabeth Davila, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-9100 | |
Mr. Joshua Inventor, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3303 Grove Ave, Unit 311, Berwyn, IL 60402 Phone: 870-324-0251 |