| Mr Jefferson James Mahinay Licup, OTR/L | |
|
226 Tiger St, Bolingbrook, IL 60490-2053 | |
| (708) 822-8886 | |
| (630) 378-4839 |
| Full Name | Mr Jefferson James Mahinay Licup |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 226 Tiger St, Bolingbrook, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437484110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 056007185 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jefferson James Mahinay Licup, OTR/L 226 Tiger St, Bolingbrook, IL 60490-2053 Ph: (708) 822-8886 | Mr Jefferson James Mahinay Licup, OTR/L 226 Tiger St, Bolingbrook, IL 60490-2053 Ph: (708) 822-8886 |
Jatona Harris, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1256 W Boughton Rd, Bolingbrook, IL 60440 Phone: 630-378-9420 | |
Eric Isip Magat, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 573 Pinebrook Dr, Bolingbrook, IL 60490 Phone: 630-863-1557 | |
Judith Micek, MOT/L,CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1256 W Boughton Rd, Bolingbrook, IL 60440 Phone: 630-378-9420 Fax: 630-378-9169 | |
Natalie Flynn Blackley, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 165 Park Meadow Ln, Bolingbrook, IL 60440 Phone: 217-473-4151 | |
Kelly Supataraporn, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 388 Twin Creeks Dr, Bolingbrook, IL 60440 Phone: 630-453-0134 | |
Andres J Olivares, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 Brighton Ln, Bolingbrook, IL 60440 Phone: 773-397-7948 | |
Natalie D Loewe, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 156 Nottingham Dr, Bolingbrook, IL 60440 Phone: 630-335-5983 |