MEDICARE: JESSICA ESCOBEDO

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	106S00000X	Behavior Technician
2	225X00000X	Occupational Therapist	056.026984	IL

General Provider Information

NPI Number	:	1427680354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA ESCOBEDO

Provider Business Mailing Address
First Line	:	8201 CASS AVE
Second Line	:
City	:	DARIEN
State	:	IL
Zip	:	60561-5314
Country	:	US
Telephone Number	:	630-590-5571
Fax Number	:

Provider Business Practice Location Address
First Line	:	1350 E TOUHY AVE STE 145W
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60018-3317
Country	:	US
Telephone Number	:	224-470-1111
Fax Number	:

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

Provider Enumeration Date	:	02/08/2020
Last Update Date	:	04/09/2026

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Directions to “ JESSICA ESCOBEDO ” Practice Location

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