| Sandra Wallin, | |
|
120 S Madison Ave, La Grange, IL 60525-2340 | |
| (708) 328-8594 | |
| Not Available |
| Full Name | Sandra Wallin |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 120 S Madison Ave, La Grange, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184926164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 0560003083 (Illinois) | Primary |
| Provider Name | Lymphatic Wellness Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1134719479 PECOS PAC ID: 0648686345 Enrollment ID: O20210303003153 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Wallin, 120 S Madison Ave, La Grange, IL 60525-2340 Ph: () - | Sandra Wallin, 120 S Madison Ave, La Grange, IL 60525-2340 Ph: (708) 328-8594 |
Julie D Meyers, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 547 9th Ave, La Grange, IL 60525 Phone: 708-228-0549 Fax: 708-482-4525 | |
Caroline Lang, M.S., MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4735 Willow Springs Rd, La Grange, IL 60525 Phone: 708-352-6900 | |
Tabatha N James, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4735 Willow Springs Rd, La Grange, IL 60525 Phone: 708-352-6900 | |
Catherine Kupczyk, OTR/L, CET,CLT-LANA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5101 Willow Springs Rd, La Grange, IL 60525 Phone: 708-245-7900 | |
Sara Vigna, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5101 Willow Springs Rd, La Grange, IL 60525 Phone: 708-245-2600 | |
Lymphatic Wellness Clinic Occupational Therapist Medicare: Medicare Enrolled Practice Location: 120 S Madison Ave, La Grange, IL 60525 Phone: 708-328-8594 | |
Alicia Lynn Sandoval, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 18 N Catherine Ave, La Grange, IL 60525 Phone: 708-482-9453 |