Active NPI
Eunice Bell Donaldson, MOT, OTR/L
- Occupational Therapist
- Chicago, IL
National Provider Identifier
1457667057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056009094
- Practice address
- 1620 N Lasalle St
Chicago, IL 60614-6005 - Phone
- (312) 943-3600
- Fax
- (312) 943-3096
- NPI assigned
- Aug 20, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056009094 | IL | Primary |
Addresses
Primary practice location
1620 N Lasalle St
Chicago, IL 60614-6005
Mailing address
1620 N Lasalle St
Chicago, IL 60614-6005
Phone (312) 943-3600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056009094 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305590400000",
"number": "1457667057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 N LASALLE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606146005",
"telephone_number": "312-943-3600",
"fax_number": "312-943-3096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 N LASALLE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606146005",
"telephone_number": "312-943-3600",
"fax_number": "312-943-3096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONALDSON",
"first_name": "EUNICE",
"middle_name": "BELL",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-20",
"last_updated": "2011-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056009094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.