MEDICARE: CARSON MUMMA OTR/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	225X00000X	Occupational Therapist	056.009831	IL

General Provider Information

NPI Number	:	1124468830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARSON MUMMA OTR/L

Provider Business Mailing Address
First Line	:	2119 W BELMONT AVE
Second Line	:	1C
City	:	CHICAGO
State	:	IL
Zip	:	60618-6463
Country	:	US
Telephone Number	:	717-572-5899
Fax Number	:

Provider Business Practice Location Address
First Line	:	2119 W BELMONT AVE
Second Line	:	1C
City	:	CHICAGO
State	:	IL
Zip	:	60618-6463
Country	:	US
Telephone Number	:	717-572-5899
Fax Number	:

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

Provider Enumeration Date	:	06/26/2013
Last Update Date	:	06/26/2013

Similar Medicare Providers

1679868137 — MS. VICTORYA TROYANSKY
Practice Location Address:

4610 N MONTICELLO AVE , APT. 2E
CHICAGO, IL
60625-6463

Practice Phone: 847-942-1069
Practice Fax:

1215509906 — AMIE STEFANICH LCSW
Practice Location Address:

474 N LAKE SHORE DR APT 2006
CHICAGO, IL
60611-6463

Practice Phone: 269-757-2695
Practice Fax:

1700538881 — JAMES JOSEPH GOMEZ LCPC, LMHC, NCC
Practice Location Address:

2650 W MONTROSE AVE STE 102
CHICAGO, IL
60618-1562

Practice Phone: 733-377-5261
Practice Fax:

1679408488 — DANIEL STUART
Practice Location Address:

2839 N MILWAUKEE AVE STE 5
CHICAGO, IL
60618-7403

Practice Phone: 517-914-5794
Practice Fax:

1114858388 — DR. VANDAN CHAVDA
Practice Location Address:

3020 W MONTROSE AVE
CHICAGO, IL
60618-1312

Practice Phone: 510-565-2173
Practice Fax:

1396392502 — LAURA KATHRYN STRADER LMFT
Practice Location Address:

2155 W BELMONT AVE # 1091
CHICAGO, IL
60618-6471

Practice Phone: 312-772-6648
Practice Fax:

Directions to “ CARSON MUMMA OTR/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.