Rebecca Julia Eichwedel, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057.005310 Issued in IL

Practice address

7929 W Cermak Rd Ste C
North Riverside, IL 60546-1379

Phone

(708) 442-0023

NPI assigned

Aug 13, 2020

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": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1366053142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7929 W CERMAK RD STE C",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "605461379",
            "telephone_number": "708-442-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7929 W CERMAK RD STE C",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "605461379",
            "telephone_number": "708-442-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHWEDEL",
        "first_name": "REBECCA",
        "middle_name": "JULIA",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.005310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Joan Deighan, MD
• Ritu Dhadwal, DDS
• Jennifer Idaly Diaz
• Dr. Bensfield, PSYD
• Kenneth James Dumas, R.PH
• Dennis W Engler, DDS
• Sabrina Fanapour, DO
• Alexis Ginai Farias, PHARM.D.
• FGM Pediatrics SC
• Sophia Finis

• Occupational Therapy Assistant in North Riverside, IL
• Providers in North Riverside, 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 13, 2020; 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.