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NPI Code Detail

MEDICARE: MR. ERIC KIRBY OTR/L CHT

MEDICARE: MR. ERIC KIRBY OTR/L CHT
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
1225XH1200XHand Occupational Therapist56006325IL

General Provider Information

NPI Number : 1427256403
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ERIC KIRBY OTR/L CHT
Provider Business Mailing Address
First Line : 790 REMINGTON BLVD
Second Line :
City : BOLINGBROOK
State : IL
Zip : 60440-4909
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9645 S WESTERN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60643-1722
Country : US
Telephone Number : 773-239-2734
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2007
Last Update Date : 01/03/2022

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