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NPI Code Detail

MEDICARE: MRS. MIKIA ALEDA SANCHEZ OTR/L

MEDICARE:  MRS. MIKIA ALEDA SANCHEZ  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 Therapist056007652IL

General Provider Information

NPI Number : 1972718955
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MIKIA ALEDA SANCHEZ OTR/L
Provider Business Mailing Address
First Line : 2947 W 79TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60652-1639
Country : US
Telephone Number : 773-719-5921
Fax Number : 773-435-6710
Provider Business Practice Location Address
First Line : 2947 W 79TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60652-1639
Country : US
Telephone Number : 773-719-5921
Fax Number : 773-435-6710
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2007
Last Update Date : 02/15/2012

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Directions to “ MRS. MIKIA ALEDA SANCHEZ OTR/L” Practice Location

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