MEDICARE: SARAH GRUETTNER SOLOVEYCHIK

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	225XP0200X	Pediatric Occupational Therapist

General Provider Information

NPI Number	:	1366375040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH GRUETTNER SOLOVEYCHIK

Provider Business Mailing Address
First Line	:	7453 N HOYNE AVE APT 3S
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-2265
Country	:	US
Telephone Number	:	847-840-5969
Fax Number	:

Provider Business Practice Location Address
First Line	:	3545 LAKE AVE STE 200
Second Line	:
City	:	WILMETTE
State	:	IL
Zip	:	60091-1058
Country	:	US
Telephone Number	:	847-386-6560
Fax Number	:

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

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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