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NPI Code Detail

MEDICARE: MADELINE DEVLIN MOTR/L

MEDICARE: MADELINE DEVLIN MOTR/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 Therapist2020018831MO
2225X00000XOccupational Therapist

General Provider Information

NPI Number : 1992286694
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELINE DEVLIN MOTR/L
Provider Business Mailing Address
First Line : 1615 W WOLFRAM ST APT 1
Second Line :
City : CHICAGO
State : IL
Zip : 60657-4019
Country : US
Telephone Number :
Fax Number : 314-609-3684
Provider Business Practice Location Address
First Line : 3048 N MILWAUKEE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-6624
Country : US
Telephone Number : 312-458-9865
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2018
Last Update Date : 07/30/2025

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Directions to “ MADELINE DEVLIN MOTR/L” Practice Location

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