MEDICARE: MRS. LYNDA THERESSE OROWICK-HARPER CTRS

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	225800000X	Recreation Therapist

General Provider Information

NPI Number	:	1679788954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LYNDA THERESSE OROWICK-HARPER CTRS

Provider Business Mailing Address
First Line	:	20075 S MALLORY DR
Second Line	:
City	:	FRANKFORT
State	:	IL
Zip	:	60423-9275
Country	:	US
Telephone Number	:	815-469-8260
Fax Number	:

Provider Business Practice Location Address
First Line	:	15900 S. CICERO AVE
Second Line	:
City	:	OAK FOREST
State	:	IL
Zip	:	60452-4006
Country	:	US
Telephone Number	:	708-633-3530
Fax Number	:

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

Provider Enumeration Date	:	05/11/2007
Last Update Date	:	07/08/2007

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