Healthcare Provider Details

I. General information

NPI: 1124948039
Provider Name (Legal Business Name): GIEDRE MOTUZYTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26W171 ROOSEVELT RD
WHEATON IL
60187-6002
US

IV. Provider business mailing address

7211 MATTHIAS RD
DOWNERS GROVE IL
60516-3347
US

V. Phone/Fax

Practice location:
  • Phone: 630-909-8000
  • Fax:
Mailing address:
  • Phone: 630-909-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: