Maria Contreras – Pediatric Occupational Therapist

Key facts

NPI: 1649304809
Entity type: Individual (NPI type 1)
Primary specialty: Pediatric Occupational Therapist 225XP0200X
License: 56007127 (IL)
Practice address: 1620 N la Salle Dr
Chicago, IL 60614-6005
Phone: (312) 943-3600
NPI assigned: Mar 16, 2007
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Through a Child'S Eyes Case Management Agency · Chicago, IL · NPI 1194861583

NPD (past)

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
56007127	IL	MD	Pediatric Occupational Therapist

Practice roles

Organization	Specialty	Status	New patients
Through a Child'S Eyes		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pediatric Occupational Therapist	225XP0200X	56007127	IL	Yes

Addresses

Primary practice location

1620 N la Salle Dr
Chicago, IL 60614-6005

Mailing address

1620 N la Salle Dr
Chicago, IL 60614-6005
Phone (312) 943-3600

Other identifiers

Identifier	Type	State	Issuer
103034	Medicaid	IL

Other providers in Chicago, IL

All providers in Chicago, IL · Pediatric 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 Jul 8, 2007. 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.

Verify at the official NPI Registry.