Tara Ryan Grandolfo, OTR/L - Occupational Therapist in Mchenry, IL

Tara Ryan Grandolfo, OTR/L is a Occupational Therapist based in Mchenry, Illinois. Tara Ryan Grandolfo is licensed to practice in Illinois (license number 452293) and her current practice location is 550 Ridgeview Dr, Mchenry, Illinois. She can be reached at her office (for appointments etc.) via phone at (815) 900-2500.

NPI number for Tara Ryan Grandolfo is 1841865177 and her current mailing address is 4723 W Pebble Beach Dr, Wadsworth, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841865177.

Contact Information

Tara Ryan Grandolfo, OTR/L
550 Ridgeview Dr,
Mchenry, IL 60050
(815) 900-2500
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameTara Ryan Grandolfo
GenderFemale
SpecialityOccupational Therapist
Location550 Ridgeview Dr, Mchenry, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1841865177
  • Provider Enumeration Date: 05/20/2021
  • Last Update Date: 05/20/2021

Medical Identifiers

Medical identifiers for Tara Ryan Grandolfo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841865177NPI-NPPES
452293OtherILNBCOT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 452293 (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. Tara Ryan Grandolfo 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
Tara Ryan Grandolfo, OTR/L
4723 W Pebble Beach Dr,
Wadsworth, IL 60083-9276

Ph: (224) 436-5624
Tara Ryan Grandolfo, OTR/L
550 Ridgeview Dr,
Mchenry, IL 60050

Ph: (815) 900-2500

Reviews and Comments


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Phone: 815-344-0246    

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