Active NPI
Eric Anthony Palatan Taguinod
- Occupational Therapist
- Wheeling, IL
National Provider Identifier
1114294717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.007783
- Practice address
- 730 W Hintz Rd
Wheeling, IL 60090-5501 - Phone
- (847) 520-1783
- NPI assigned
- Nov 27, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 056.007783 | IL | Primary |
Addresses
Primary practice location
730 W Hintz Rd
Wheeling, IL 60090-5501
Mailing address
1870 W Golf Rd
Mt Prospect, IL 60056-4027
Phone (847) 730-9454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
916 E Northwest Hwy
Palatine, IL 60074-6506
Phone (847) 258-5420
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.007783 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Maxx LLC | Occupational Therapist | Current | Accepting new patients |
Locations
415 W Golf Rd
Ste 23
Arlington Heights, IL 60005
Phone (224) 595-1546
415 W Golf Rd
Ste 52
Arlington Hts, IL 60005
Phone (847) 258-5420
1530 N Randall Rd
Elgin, IL 60123
Phone (224) 760-7322
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322352000000",
"number": "1114294717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1870 W GOLF RD",
"city": "MT PROSPECT",
"state": "IL",
"postal_code": "600564027",
"telephone_number": "847-730-9454",
"fax_number": "847-378-8214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 W HINTZ RD",
"city": "WHEELING",
"state": "IL",
"postal_code": "600905501",
"telephone_number": "847-520-1783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAGUINOD",
"first_name": "ERIC ANTHONY",
"middle_name": "PALATAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-27",
"last_updated": "2011-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.007783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.