Sherry L Wichman, OT
Individual provider Active NPI Occupational Therapist · Mount Carroll, IL
NPI 1194967448 · NPPES record last updated Apr 1, 2009
Key facts
- NPI
- 1194967448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 056008262 (IL)
- Practice address
- 1120 Healthcare Dr
Mount Carroll, IL 61053-1461 - Phone
- (815) 244-4181
- NPI assigned
- Apr 1, 2009
- 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)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freeport Regional Health Care Foundation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056008262 | IL | Yes |
Addresses
Primary practice location
1120 Healthcare Dr
Mount Carroll, IL 61053-1461
Mailing address
421 W Exchange St
PO Box 268
Freeport, IL 61032-4008
Phone (815) 599-7958
Other providers in Mount Carroll, IL
- Laura Marie Smith
- Stephanie K Snider
- Melody Beth Stauffer
- The Evangelical Lutheran Good Samaritan Society
- Julie Wardell
- Amy Wiltshire
- Sabrina Lee Woodbury
All providers in Mount Carroll, 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 Apr 1, 2009. 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.