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NPI Code Detail

MEDICARE: MRS. ANDREA ADIGHIBE MOT,OTR/L, CHT

MEDICARE: MRS. ANDREA ADIGHIBE MOT,OTR/L, CHT
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
1225X00000XOccupational Therapist
2225X00000XOccupational Therapist5201007895MI
3225X00000XOccupational TherapistOH.007016OH
4225XH1200XHand Occupational Therapist056008362IL

General Provider Information

NPI Number : 1205095999
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANDREA ADIGHIBE MOT,OTR/L, CHT
Provider Business Mailing Address
First Line : 790 REMINGTON BLVD STE 203
Second Line :
City : BOLINGBROOK
State : IL
Zip : 60440-4909
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1226 S CANAL ST
Second Line :
City : CHICAGO
State : IL
Zip : 60607-5213
Country : US
Telephone Number : 312-733-8958
Fax Number : 312-733-9447
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2008
Last Update Date : 01/23/2025

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