MEDICARE: JOANN JACKSON COTA

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	224Z00000X	Occupational Therapy Assistant	057002620	IL

General Provider Information

NPI Number	:	1194971853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANN JACKSON COTA

Provider Business Mailing Address
First Line	:	14720 ARTESIAN AVE
Second Line	:
City	:	HARVEY
State	:	IL
Zip	:	60426-1363
Country	:	US
Telephone Number	:	773-206-7122
Fax Number	:	773-937-4223

Provider Business Practice Location Address
First Line	:	3442 W 73RD PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60629-3514
Country	:	US
Telephone Number	:	773-937-4222
Fax Number	:	773-937-4223

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

Provider Enumeration Date	:	08/13/2008
Last Update Date	:	08/13/2008

Similar Medicare Providers

1114101532 — MEETING MILESTONES LLC
Practice Location Address:

3422 W 73RD PL
CHICAGO, IL
60629-3514

Practice Phone: 773-206-7122
Practice Fax: 773-298-8395

1275525412 — CHICAGO DEPARTMENT OF PUBLIC HEALTH
Practice Location Address:

4314 S COTTAGE GROVE AVE , GREATER GRAND MENTAL HEALTH CENTER
CHICAGO, IL
60653-3514

Practice Phone: 312-747-0036
Practice Fax: 312-747-2208

1154372613 — MR. TYRONE FRAZIER LCSW
Practice Location Address:

7236 S LAFAYETTE AVE
CHICAGO, IL
60621-3514

Practice Phone: 773-651-1013
Practice Fax:

1235209727 — F L M DENTAL CORP PC
Practice Location Address:

3514 N LINCOLN AVE
CHICAGO, IL
60657-1104

Practice Phone: 773-929-4140
Practice Fax: 773-929-2514

1457488397 — AMY PATEL MSPT
Practice Location Address:

3229 N BROADWAY ST
CHICAGO, IL
60657-3514

Practice Phone: 773-871-4538
Practice Fax: 773-871-4895

1508087560 — KIMBERLY J LARSON PT
Practice Location Address:

3229 N BROADWAY ST
CHICAGO, IL
60657-3514

Practice Phone: 773-871-4538
Practice Fax: 773-871-4895

Directions to “ JOANN JACKSON COTA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.