Mrs Ellen Marie Tanner, OTRL - Occupational Therapist in Alton, IL

Mrs Ellen Marie Tanner, OTRL is a Occupational Therapist based in Alton, Illinois. Mrs Ellen Marie Tanner is licensed to practice in Illinois (license number 056.007674) and her current practice location is 4823 Storeyland Dr, Alton, Illinois. She can be reached at her office (for appointments etc.) via phone at (312) 593-4871.

NPI number for Mrs Ellen Marie Tanner is 1417172172 and her current mailing address is 4823 Storeyland Dr, Alton, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417172172.

Contact Information

Mrs Ellen Marie Tanner, OTRL
4823 Storeyland Dr,
Alton, IL 62002-5835
(312) 593-4871
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Ellen Marie Tanner
GenderFemale
SpecialityOccupational Therapist
Location4823 Storeyland Dr, Alton, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417172172
  • Provider Enumeration Date: 04/16/2007
  • Last Update Date: 10/27/2014

Medical Identifiers

Medical identifiers for Mrs Ellen Marie Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417172172NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 056.007674 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Ellen Marie Tanner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Ellen Marie Tanner, OTRL
4823 Storeyland Dr,
Alton, IL 62002-5835

Ph: (312) 593-4871
Mrs Ellen Marie Tanner, OTRL
4823 Storeyland Dr,
Alton, IL 62002-5835

Ph: (312) 593-4871

Reviews and Comments


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