Josephine L Boggs, OTRL
Individual provider Active NPI Occupational Therapist · Countryside, IL
NPI 1083770523 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1083770523
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- Practice address
- 100 W Plainfield Rd
Countryside, IL 60525-2869 - Phone
- (708) 588-0833
- Fax
- (708) 588-0406
- NPI assigned
- Dec 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056-006514 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Independence Through Conductive Education Inc | Occupational Therapist | Current |
Accepting new patients |
Locations
100 W Plainfield Rd
Ste 100
Countryside, IL 60525
Phone (708) 588-0833
100 W Plainfield Rd
Countryside, IL 60525
Phone (708) 588-0833
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | IL | Yes |
Addresses
Primary practice location
100 W Plainfield Rd
Countryside, IL 60525-2869
Mailing address
100 W Plainfield Rd
Countryside, IL 60525-2869
Phone (708) 588-0833
Other providers in Countryside, IL
- Erica Bell
- Shannon Berrisford
- Katherine A Biziorek
- Jamarice Blevins
- Blue Sky Van Rides LLC
- Jocelyn Bonilla
- Christopher Brenner
- Catherine M Bruton
- Thomas Robert Bryson
- Steve Buda
All providers in Countryside, IL · Occupational Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.