MEDICARE: MS. ALLIE CHRISTINA KARAGOZIAN 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	225XM0800X	Mental Health Occupational Therapist	056011338	IL

General Provider Information

NPI Number	:	1467328690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALLIE CHRISTINA KARAGOZIAN MS, OTR/L

Provider Business Mailing Address
First Line	:	1828 W WEBSTER AVE # 440
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-2916
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1828 W WEBSTER AVE # 440
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-2916
Country	:	US
Telephone Number	:	248-921-3061
Fax Number	:

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

Provider Enumeration Date	:	10/14/2025
Last Update Date	:	10/14/2025

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