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NPI Code Detail

MEDICARE: JILL SUZANNE SWIEBOCKI OTR/L

MEDICARE: JILL SUZANNE SWIEBOCKI 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
1225X00000XOccupational Therapist056.004447IL

General Provider Information

NPI Number : 1457610669
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL SUZANNE SWIEBOCKI OTR/L
Provider Business Mailing Address
First Line : 350 ROBIN GLEN LN
Second Line :
City : SOUTH ELGIN
State : IL
Zip : 60177-2209
Country : US
Telephone Number : 847-809-3445
Fax Number :
Provider Business Practice Location Address
First Line : 1901 SILVER GLEN RD
Second Line :
City : SOUTH ELGIN
State : IL
Zip : 60177-3351
Country : US
Telephone Number : 224-639-1767
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2012
Last Update Date : 10/22/2025

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