MEDICARE: MARY O'LEAR

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	5201000279	MI

General Provider Information

NPI Number	:	1376512723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY O'LEAR

Provider Business Mailing Address
First Line	:	2122 YORK RD STE 300
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-1925
Country	:	US
Telephone Number	:	630-575-6200
Fax Number	:

Provider Business Practice Location Address
First Line	:	119 WATERSTRADT COMMERCE DR
Second Line	:
City	:	DUNDEE
State	:	MI
Zip	:	48131-9695
Country	:	US
Telephone Number	:	734-823-7900
Fax Number	:	734-529-3994

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

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	08/26/2025

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Directions to “ MARY O'LEAR ” Practice Location

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