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NPI Code Detail

MEDICARE: EILISH MARGUERITE NEWCOMB OTD, OTR/L

MEDICARE: EILISH MARGUERITE NEWCOMB OTD, OTR/L
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
1225X00000XOccupational Therapist056.017014IL

General Provider Information

NPI Number : 1538007778
Entity Type Code : Individual
Provider Name (Legal Business Name) : EILISH MARGUERITE NEWCOMB OTD, OTR/L
Provider Business Mailing Address
First Line : 14724 W EDINBURGH CT
Second Line :
City : HOMER GLEN
State : IL
Zip : 60491-3387
Country : US
Telephone Number : 708-639-0148
Fax Number :
Provider Business Practice Location Address
First Line : 1804 CENTRE POINT CIR STE 102
Second Line :
City : NAPERVILLE
State : IL
Zip : 60563-4849
Country : US
Telephone Number : 630-955-1940
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2026
Last Update Date : 03/21/2026

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Directions to “ EILISH MARGUERITE NEWCOMB OTD, OTR/L” Practice Location

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