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NPI Code Detail

MEDICARE: MS. MARIBETH RUDER KRIKAU OTR/L

MEDICARE: MS. MARIBETH RUDER KRIKAU 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
1225X00000XOccupational Therapist056002928IL

General Provider Information

NPI Number : 1811005960
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARIBETH RUDER KRIKAU OTR/L
Provider Business Mailing Address
First Line : 9500 BORMET DR STE 304
Second Line :
City : MOKENA
State : IL
Zip : 60448-8399
Country : US
Telephone Number : 815-469-1500
Fax Number :
Provider Business Practice Location Address
First Line : 21000 S FRANKFORT SQUARE RD STE D
Second Line :
City : FRANKFORT
State : IL
Zip : 60423-9386
Country : US
Telephone Number : 815-468-1500
Fax Number : 815-220-5619
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2006
Last Update Date : 05/27/2026

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