Healthcare Provider Details

I. General information

NPI: 1710147459
Provider Name (Legal Business Name): HILLARY MARGARET NAPIER-GONDEK MS OTRL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2008
Last Update Date: 09/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 W ROOSEVELT RD
CHICAGO IL
60608-1200
US

IV. Provider business mailing address

1526 W BELLE PLAINE AVE #G
CHICAGO IL
60613-1857
US

V. Phone/Fax

Practice location:
  • Phone: 312-997-3686
  • Fax:
Mailing address:
  • Phone: 773-230-4636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number056007792
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: