MEDICARE: MELISSA EILEEN SUERMANN COTA/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
1	224Z00000X	Occupational Therapy Assistant	057005366	IL

General Provider Information

NPI Number	:	1093314593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA EILEEN SUERMANN COTA/L

Provider Business Mailing Address
First Line	:	445 E 3RD ST
Second Line	:
City	:	ALTON
State	:	IL
Zip	:	62002-2410
Country	:	US
Telephone Number	:	618-792-2422
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 S STATION RD
Second Line	:
City	:	GLEN CARBON
State	:	IL
Zip	:	62034-2739
Country	:	US
Telephone Number	:	618-288-5014
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2020
Last Update Date	:	10/26/2020

Similar Medicare Providers

1235131558 — LEGATUS EMERGENCY SERVICES
Practice Location Address:

17 GINGER CREEK MDWS
GLEN CARBON, IL
62034-3508

Practice Phone: 618-656-9777
Practice Fax:

1053315663 — DR. RICHARD C COY DC
Practice Location Address:

3407 S STATE ROUTE 157 , STE 1
GLEN CARBON, IL
62034-1041

Practice Phone: 618-288-3610
Practice Fax: 618-288-9879

1184620544 — DR. DAVID A REIMERS D.O.
Practice Location Address:

5921 MERIDIAN WOODS
GLEN CARBON, IL
62034-1545

Practice Phone: 618-391-5883
Practice Fax:

1174529556 — KENNETH MAX EAKIN M.D.
Practice Location Address:

3 JUNCTION DR W
GLEN CARBON, IL
62034-2916

Practice Phone: 618-288-5088
Practice Fax: 618-288-9153

1770589053 — DR. FREDERICK WAGNER M.D.
Practice Location Address:

5921 MERIDIAN WOODS DRIVE
GLEN CARBON, IL
62034-1545

Practice Phone: 618-391-5883
Practice Fax:

1417953316 — MICHAEL E MULLIGAN M.D.
Practice Location Address:

3 JUNCTION DR W
GLEN CARBON, IL
62034-2916

Practice Phone: 618-288-5088
Practice Fax:

Directions to “ MELISSA EILEEN SUERMANN COTA/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.