Michael Cernivec, OTR/L
Individual provider Active NPI Hand Occupational Therapist · Fox River Grove, IL
NPI 1306403076 · NPPES record last updated May 28, 2019
Key facts
- NPI
- 1306403076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hand Occupational Therapist 225XH1200X
- License
- 056.012880 (IL)
- Practice address
- 1009 State Route 22
Fox River Grove, IL 60021-1998 - Phone
- (847) 462-8707
- NPI assigned
- May 28, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.012880 | IL | MD | Hand Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist |
225XH1200X | 056.012880 | IL | Yes |
Addresses
Primary practice location
1009 State Route 22
Fox River Grove, IL 60021-1998
Mailing address
730 Beacon Dr
Lake Barrington, IL 60010-1577
Other names
- Michael Cernivec
Other providers in Fox River Grove, IL
- Steven W. Blevins
- Brown Spinal Care, Inc.
- Bruce M Bell M D S C
- Renee Griffin Buchanan
- Olivia Bueno
- Fenglan Chen
- Christy Cardiology LTD
- Christine Cogburn
- Thomas Cook
- Mark R Davis II
All providers in Fox River Grove, IL · Hand 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 May 28, 2019. 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.