MEDICARE: ANNE M PICCHIOTTI

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

General Provider Information

NPI Number	:	1346907110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE M PICCHIOTTI

Provider Business Mailing Address
First Line	:	1521 E FOREST AVE
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60018-1638
Country	:	US
Telephone Number	:	847-345-3743
Fax Number	:

Provider Business Practice Location Address
First Line	:	1521 E FOREST AVE
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60018-1638
Country	:	US
Telephone Number	:	847-345-3743
Fax Number	:

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

Provider Enumeration Date	:	11/29/2021
Last Update Date	:	11/29/2021

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Directions to “ ANNE M PICCHIOTTI ” Practice Location

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