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1578937991

NPI Code Detail

MEDICARE: JEANNIE TSUI MOT, OTR/L

MEDICARE: JEANNIE TSUI MOT, 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	225XP0200X	Pediatric Occupational Therapist
2	225X00000X	Occupational Therapist	056011214	IL
3	225XM0800X	Mental Health Occupational Therapist	056011214	IL
4	225XG0600X	Gerontology Occupational Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578937991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEANNIE TSUI MOT, OTR/L

Provider Business Mailing Address
First Line	:	4153 W MELROSE ST APT 1W
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-4679
Country	:	US
Telephone Number	:	312-714-8577
Fax Number	:

Provider Business Practice Location Address
First Line	:	2141 S TAN CT
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60616-1998
Country	:	US
Telephone Number	:	312-791-0418
Fax Number	:

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

Provider Enumeration Date	:	11/23/2015
Last Update Date	:	02/07/2024

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Directions to “ JEANNIE TSUI MOT, OTR/L” 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.

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