Active NPI
Nancy W Dague, OTR/L
- Occupational Therapist
- Chicago, IL
National Provider Identifier
1467947051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.002752
- Practice address
- 1010 N Hooker St Ste 301
Chicago, IL 60642-4633 - Phone
- (312) 943-3600
- NPI assigned
- Jun 26, 2018
- Last updated
- Jun 26, 2018
- 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 | 056.002752 | IL | Primary |
Addresses
Primary practice location
1010 N Hooker St Ste 301
Chicago, IL 60642-4633
Mailing address
35391 N Everett Ave
Ingleside, IL 60041-9168
Phone (847) 587-9359
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 |
|---|---|---|---|
| 056.002752 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| International Consulting Group, Inc | Past | Accepting new patients | |
| Icg Home Health Care | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Chicago, IL
- NPI 1922546050
-
dba ICG Home Health Care Services
- Home Health Agency
- Chicago, IL
- NPI 1174897144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529971200000",
"number": "1467947051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35391 N EVERETT AVE",
"city": "INGLESIDE",
"state": "IL",
"postal_code": "600419168",
"telephone_number": "847-587-9359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 N HOOKER ST STE 301",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606424633",
"telephone_number": "312-943-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAGUE",
"first_name": "NANCY",
"middle_name": "W",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-26",
"last_updated": "2018-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.002752",
"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 Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.