MEDICARE: NECHAMA NEGER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	056.013860	IL

General Provider Information

NPI Number	:	1083099014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NECHAMA NEGER

Provider Business Mailing Address
First Line	:	2929 W COYLE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-2923
Country	:	US
Telephone Number	:	917-627-6458
Fax Number	:

Provider Business Practice Location Address
First Line	:	2929 W COYLE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-2923
Country	:	US
Telephone Number	:	917-627-6458
Fax Number	:	847-584-2604

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2015
Last Update Date	:	10/28/2020

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Directions to “ NECHAMA NEGER ” Practice Location

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