Individual provider Active NPI

Mary S Sung, M.S.

  • Occupational Therapist
  • Lake Zurich, IL
National Provider Identifier
1205103629
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.003037 Issued in IL
Practice address
900 S Rand Rd
Lake Zurich, IL 60047-2450
Phone
(847) 296-1200
Fax
(847) 438-5240
NPI assigned
Nov 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.003037 IL Primary

Addresses

Primary practice location

900 S Rand Rd
Lake Zurich, IL 60047-2450

Mailing address

900 S Rand Rd
Lake Zurich, IL 60047-2450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181128001250 IL Practitioner - Occupational Therapist in Private Practice 2567706831 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

1865 E Belvidere Rd
Grayslake, IL 60030-2290
Phone (847) 986-4633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
056.003037ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Jul 27, 2025 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Dec 30, 2025 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Dec 30, 2025 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Jul 27, 2025 Accepting new patients
Illinois Post-Acute Medical Services 1 PC Past Accepting new patients
Adaptive Rehabilitation Clinics, LLC Occupational Therapist Past Accepting new patients

Locations

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

500 Atrium Dr
Vernon Hills, IL 60061
Phone (224) 433-6056

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

Organizations & group practices 6

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": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1205103629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S RAND RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S RAND RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472450",
            "telephone_number": "847-296-1200",
            "fax_number": "847-438-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNG",
        "first_name": "MARY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.003037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Zurich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.

Verify at the official NPI Registry.