MEDICARE: CHELSEA ANNE MABEL MCCARTHY MS, 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
1	225X00000X	Occupational Therapist	056015317	IL

General Provider Information

NPI Number	:	1386464253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA ANNE MABEL MCCARTHY MS, OTR/L

Provider Business Mailing Address
First Line	:	38W010 SILVER GLEN RD
Second Line	:
City	:	SAINT CHARLES
State	:	IL
Zip	:	60175-6820
Country	:	US
Telephone Number	:	310-486-4787
Fax Number	:

Provider Business Practice Location Address
First Line	:	2018 LARKIN AVE
Second Line	:
City	:	ELGIN
State	:	IL
Zip	:	60123-5845
Country	:	US
Telephone Number	:	630-880-0993
Fax Number	:

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

Provider Enumeration Date	:	10/15/2024
Last Update Date	:	10/15/2024

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