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NPI Code Detail

MEDICARE: MRS. SUSAN ABBEY SWIDLER MOT, OTR/L

MEDICARE:  MRS. SUSAN ABBEY SWIDLER  MOT, 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
1225XP0200XPediatric Occupational Therapist056005752IL

General Provider Information

NPI Number : 1871601708
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUSAN ABBEY SWIDLER MOT, OTR/L
Provider Business Mailing Address
First Line : 824 N HERMITAGE AVE
Second Line : UNIT 1
City : CHICAGO
State : IL
Zip : 60622-5015
Country : US
Telephone Number : 847-663-1020
Fax Number : 847-663-1022
Provider Business Practice Location Address
First Line : 5225 OLD ORCHARD RD
Second Line : SUITE 18
City : SKOKIE
State : IL
Zip : 60077-4405
Country : US
Telephone Number : 847-663-1020
Fax Number : 847-663-1022
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. SUSAN ABBEY SWIDLER MOT, OTR/L” Practice Location

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