Active NPI
Yvette G Fowler-Utanes, OTR/L, MHA
- Occupational Therapist
- Elgin, IL
National Provider Identifier
1023698404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056007875
- Practice address
- 1950 Larkin Ave
Elgin, IL 60123-5843 - Phone
- (847) 600-4520
- NPI assigned
- Apr 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056007875 | IL | Primary |
Addresses
Primary practice location
1950 Larkin Ave
Elgin, IL 60123-5843
Mailing address
329 Robin Glen LN
South Elgin, IL 60177-2210
Phone (847) 877-3632
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056007875 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618012800000",
"number": "1023698404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 ROBIN GLEN LN",
"city": "SOUTH ELGIN",
"state": "IL",
"postal_code": "601772210",
"telephone_number": "847-877-3632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 LARKIN AVE",
"city": "ELGIN",
"state": "IL",
"postal_code": "601235843",
"telephone_number": "847-600-4520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER-UTANES",
"first_name": "YVETTE",
"middle_name": "G",
"credential": "OTR/L, MHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-10",
"last_updated": "2021-04-10",
"certification_date": "2021-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056007875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.