Michelle Dvorak

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057.004040 Issued in IL

Practice address

394 Federal Dr
Crystal Lake, IL 60014-6281

Phone

(815) 459-3810

NPI assigned

Mar 13, 2014

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

State licenses

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1144646266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 W MAIN ST",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600132015",
            "telephone_number": "847-829-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 FEDERAL DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146281",
            "telephone_number": "815-459-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DVORAK",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.004040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail D Duffy, MS CCC-SLP
• Debra Elaine Duggan, LMT
• Koren Jean Duhr, D.C.
• Eve Dunn
• Durable Medical Equipment of Crystal Lake, Inc
• Thomas Dworak, LPC-IT SAC-IT
• Deana L Dy, M.D.
• Erika Kristine Dycus, RN LDN
• Filip Robert Dyminski
• Dynamic Family Health Ctr LTD

• Occupational Therapy Assistant in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.