| Ms Nicole Melissa Booker, OTR/L | |
|
9401 Ridgeland Ave, Oak Lawn, IL 60453-2221 | |
| (708) 599-6700 | |
| Not Available |
| Full Name | Ms Nicole Melissa Booker |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 9401 Ridgeland Ave, Oak Lawn, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902115926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 056.007690 (Illinois) | Primary |
| Provider Name | Renewal Rehab Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033460555 PECOS PAC ID: 2062725237 Enrollment ID: O20150716001778 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Nicole Melissa Booker, OTR/L 2741 W 93rd Pl, Evergreen Park, IL 60805-2508 Ph: () - | Ms Nicole Melissa Booker, OTR/L 9401 Ridgeland Ave, Oak Lawn, IL 60453-2221 Ph: (708) 599-6700 |
Jennifer Marsiglio, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5425 | |
Elizabeth A Folliard, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5369 | |
Patricia E Lugowski, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5425 Fax: 708-684-3652 | |
Timothy Mcmullen, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9108 S 53rd Ave, Oak Lawn, IL 60453 Phone: 708-595-9916 | |
Dornica D Griffin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4425 W 95th St, Oak Lawn, IL 60453 Phone: 708-422-4441 Fax: 708-422-2122 | |
Lucia Arellano Duran, LUCIA ARELLANO OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5540 W 111th St, Oak Lawn, IL 60453 Phone: 773-373-3333 | |
Amanda Kathleen Miller, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-1323 Fax: 708-684-4914 |