Dawn Marie Calhoun, OTR/L

Individual provider Active NPI Pediatric Occupational Therapist · Lemont, IL

NPI 1174708796 · NPPES record last updated Jan 2, 2008

Key facts

NPI
1174708796
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
Practice address
14980 Angelico St
Lemont, IL 60439-9165
Phone
(630) 243-6457
Fax
(630) 243-6768
NPI assigned
Jan 2, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
056.003973ILMDPediatric Occupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X IL Yes

Addresses

Primary practice location

14980 Angelico St
Lemont, IL 60439-9165

Mailing address

14980 Angelico St
Lemont, IL 60439-9165
Phone (630) 243-6457

Other providers in Lemont, IL

All providers in Lemont, IL · Pediatric Occupational Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.