Tracy Milefchik, MS, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

056006196 Issued in IL

Practice address

7421 Madison St
Forest Park, IL 60130-1575

Phone

(773) 505-4564

NPI assigned

Mar 13, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1083173678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 S KENMORE AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263517",
            "telephone_number": "773-505-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 MADISON ST",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601301575",
            "telephone_number": "773-505-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILEFCHIK",
        "first_name": "TRACY",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056006196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Cali Mendelsohn, OTD, OTR/L
• Ralph Menezes, M.D.
• Elsa Marquez Merin, M.D.
• Belmina Michael, M.D.
• Midwest Psychiatry Associates SC
• Kim C Miller-Huggins, LMT
• Tyler Joel Minnich, OD
• MLB Dental, LTD.
• Lauren M Mollette, BS
• Erica Christine Montelo

• Pediatric Occupational Therapist in Forest Park, IL
• Providers in Forest Park, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.