| Raili Chan, OT | |
|
975 E Nerge Rd, Suite N-140, Roselle, IL 60172-4804 | |
| (874) 437-9889 | |
| Not Available |
| Full Name | Raili Chan |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 975 E Nerge Rd, Roselle, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639456890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 056.009543 (Illinois) | Primary |
| Provider Name | Memorycare Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1609193515 PECOS PAC ID: 3870785132 Enrollment ID: O20101006000084 |
| Provider Name | Cortlyn Therapy Pc |
|---|---|
| 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 |
|---|---|
| Raili Chan, OT 3053 S Throop St, Chicago, IL 60608-5812 Ph: (773) 557-9670 | Raili Chan, OT 975 E Nerge Rd, Suite N-140, Roselle, IL 60172-4804 Ph: (874) 437-9889 |
Laura Bryant, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 E Nerge Rd, Ste N-140, Roselle, IL 60172 Phone: 847-944-1230 Fax: 847-944-1240 | |
Mrs. Julia Marie Clark, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 621 High Ridge Rd, Roselle, IL 60172 Phone: 708-334-1095 Fax: 855-834-3810 | |
Rachel Gabrielle Wulfsohn, M.S., OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 E Nerge Rd Ste W20, Roselle, IL 60172 Phone: 224-520-8562 | |
Jordan Marie Maisto, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 333 W Irving Park Rd Ste 206, Roselle, IL 60172 Phone: 630-893-7995 | |
Kelli Bayne, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Picton Rd, Roselle, IL 60172 Phone: 630-888-4768 | |
Ms. Sarah Adeline Lucilla Whitchurch, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 333 W Irving Park Rd Ste 206, Roselle, IL 60172 Phone: 630-893-7995 |