MEDICARE: ALICE HALL MARTIN MA/OTR

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	056005742	IL

General Provider Information

NPI Number	:	1538448956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICE HALL MARTIN MA/OTR

Provider Business Mailing Address
First Line	:	2700 W MELROSE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-5908
Country	:	US
Telephone Number	:	773-719-7017
Fax Number	:	773-751-2250

Provider Business Practice Location Address
First Line	:	6033 N SHERIDAN RD
Second Line	:	N6
City	:	CHICAGO
State	:	IL
Zip	:	60660-3003
Country	:	US
Telephone Number	:	773-275-4800
Fax Number	:	773-751-2250

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

Provider Enumeration Date	:	08/16/2011
Last Update Date	:	08/16/2011

Similar Medicare Providers

1679556500 — DR. JACK PETER HORBAL D.D.S.
Practice Location Address:

6033 N SHERIDAN RD , CAPTAIN'S WALK N5
CHICAGO, IL
60660-3003

Practice Phone: 773-275-0110
Practice Fax:

1093774481 — SNEHDHAN YESHODHAN PT
Practice Location Address:

6033 N SHERIDAN RD , APT 23-G
CHICAGO, IL
60660-3003

Practice Phone: 773-769-6735
Practice Fax: 773-769-6735

1417974395 — MS. ELAINE JANET WAGNER DC
Practice Location Address:

6033 N SHERIDAN RD # CW04S-05
CHICAGO, IL
60660-3003

Practice Phone: 773-274-6827
Practice Fax:

1023243151 — KERSTIN ELIZABETH HORBAL DDS
Practice Location Address:

6033 N SHERIDAN RD , CAPTAIN'S WALK
CHICAGO, IL
60660-3003

Practice Phone: 773-275-0110
Practice Fax:

1346560349 — AFFINITY REHAB AND THERAPY SERVICES LLC
Practice Location Address:

6033 N SHERIDAN RD , SUITE 22E
CHICAGO, IL
60660-3003

Practice Phone: 773-334-8643
Practice Fax: 773-751-2250

1326382458 — LEANNE KING BACHELOR
Practice Location Address:

6033 N SHERIDAN RD , #22E
CHICAGO, IL
60660-3003

Practice Phone: 217-416-5453
Practice Fax:

Directions to “ ALICE HALL MARTIN MA/OTR” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.