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NPI Code Detail

MEDICARE: JUSTIN CALPE OTR

MEDICARE: JUSTIN CALPE OTR
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 Therapist056.011047IL

General Provider Information

NPI Number : 1982169769
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTIN CALPE OTR
Provider Business Mailing Address
First Line : 4616 N AVERS AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-6302
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1551 LAKE COOK RD
Second Line :
City : DEERFIELD
State : IL
Zip : 60015-5651
Country : US
Telephone Number : 847-374-0500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2019
Last Update Date : 04/07/2025

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Directions to “ JUSTIN CALPE OTR” Practice Location

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