MEDICARE: TOYA C RASHEED OT

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	056002569	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1619980	OTHER	IL	BCBS OF IL

General Provider Information

NPI Number	:	1336356963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TOYA C RASHEED OT

Provider Business Mailing Address
First Line	:	205 W WACKER DR
Second Line	:	SUITE 1020
City	:	CHICAGO
State	:	IL
Zip	:	60606-1216
Country	:	US
Telephone Number	:	312-640-0329
Fax Number	:

Provider Business Practice Location Address
First Line	:	8658 S COTTAGE GROVE AVE
Second Line	:	UNIT 400
City	:	CHICAGO
State	:	IL
Zip	:	60619-6186
Country	:	US
Telephone Number	:	773-723-1270
Fax Number	:	773-723-1280

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

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	03/12/2015

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Directions to “ TOYA C RASHEED OT” Practice Location

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