MEDICARE: KATHRYN VUCEKOVICH OT

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	056-001430	IL

General Provider Information

NPI Number	:	1760438675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN VUCEKOVICH OT

Provider Business Mailing Address
First Line	:	625 ENTERPRISE DR
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-8813
Country	:	US
Telephone Number	:	630-575-6250
Fax Number	:	630-575-7450

Provider Business Practice Location Address
First Line	:	1323 W DIVERSEY PKWY
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-1207
Country	:	US
Telephone Number	:	773-549-2520
Fax Number	:	773-549-2743

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

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	10/26/2016

Similar Medicare Providers

1770578866 — JOHN W TENHUNDFELD M.D.
Practice Location Address:

1317 W DIVERSEY PKWY
CHICAGO, IL
60614-1207

Practice Phone: 773-665-9355
Practice Fax: 773-665-0403

1760477863 — LINCOLN PARK FAMILY PHYSICIANS SC
Practice Location Address:

1317 W DIVERSEY PKWY
CHICAGO, IL
60614-1207

Practice Phone: 773-665-9355
Practice Fax: 773-665-0403

1992790877 — STEVEN H RUBE M.D.
Practice Location Address:

1317 W DIVERSEY PKWY
CHICAGO, IL
60614-1207

Practice Phone: 773-665-9355
Practice Fax: 773-665-0403

1477540854 — MR. MICHAEL JOHN MCCORMICK ATC
Practice Location Address:

1323 W DIVERSEY PKWY
CHICAGO, IL
60614-1207

Practice Phone: 773-549-2520
Practice Fax: 773-549-2743

1467449314 — MR. JAMES M TYRRELL ATC, CSCS
Practice Location Address:

1323 W DIVERSEY PKWY
CHICAGO, IL
60614-1207

Practice Phone: 773-549-2520
Practice Fax:

1871576330 — MS. ALEXANDRIA ROSE URGO ATC, LMT
Practice Location Address:

1323 W DIVERSEY PKWY
CHICAGO, IL
60614-1207

Practice Phone: 773-549-2520
Practice Fax:

Directions to “ KATHRYN VUCEKOVICH OT” 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.