MEDICARE: AMY S ZIER MS OTR/L, PHD

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
2	225X00000X	Occupational Therapist	056.003880	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	N.A	OTHER		OCCUPATIONAL THERAPIST

General Provider Information

NPI Number	:	1750648796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY S ZIER MS OTR/L, PHD

Provider Business Mailing Address
First Line	:	2319 N ORCHARD STREET
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614
Country	:	US
Telephone Number	:	773-755-7791
Fax Number	:	773-755-7792

Provider Business Practice Location Address
First Line	:	2112 N DAYTON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-4302
Country	:	US
Telephone Number	:	312-843-4340
Fax Number	:

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

Provider Enumeration Date	:	04/16/2012
Last Update Date	:	08/18/2021

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