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NPI Code Detail

MEDICARE: MR. JAMES FREDRIC HILL OTR/L

MEDICARE: MR. JAMES FREDRIC HILL 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
1225XM0800XMental Health Occupational Therapist056002356IL

General Provider Information

NPI Number : 1295064806
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES FREDRIC HILL OTR/L
Provider Business Mailing Address
First Line : 262 SCOTTSWOOD RD
Second Line :
City : RIVERSIDE
State : IL
Zip : 60546-2224
Country : US
Telephone Number : 708-280-1978
Fax Number :
Provider Business Practice Location Address
First Line : 1740 W TAYLOR ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-7232
Country : US
Telephone Number : 312-413-0883
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2009
Last Update Date : 12/09/2009

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