Valerie Bennett

Individual provider Active NPI Occupational Therapist · Hillside, IL

NPI 1497036347 · NPPES record last updated Sep 6, 2011

Key facts

NPI
1497036347
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
056.002665 (IL)
Practice address
4600 Frontage Rd
Hillside, IL 60162-1761
Phone
(708) 544-9933
NPI assigned
Sep 6, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
056.002665ILMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.002665 IL Yes

Addresses

Primary practice location

4600 Frontage Rd
Hillside, IL 60162-1761

Mailing address

1840 N Normandy Ave
Chicago, IL 60707-3926
Phone (773) 385-9092

Other names

  • Valerie Bennett Professional name

Other providers in Hillside, IL

All providers in Hillside, IL · Occupational Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.