Healthcare Provider Details

I. General information

NPI: 1629435987
Provider Name (Legal Business Name): ROOPLEEN AHUJA OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROOPLEEN RAI

II. Dates (important events)

Enumeration Date: 01/18/2016
Last Update Date: 05/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 FINLEY RD SUITE 101
DOWNERS GROVE IL
60515-1041
US

IV. Provider business mailing address

2901 FINLEY RD SUITE 101
DOWNERS GROVE IL
60515-1041
US

V. Phone/Fax

Practice location:
  • Phone: 630-792-1800
  • Fax: 630-792-1801
Mailing address:
  • Phone: 630-792-1800
  • Fax: 630-792-1801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number056005689
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: