Adriana Digianfilippo, OTR

Individual provider Active NPI Pediatric Occupational Therapist · Lagrange, IL

NPI 1689126997 · NPPES record last updated Nov 3, 2016

Key facts

NPI
1689126997
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
056.011745 (IL)
Practice address
18 N. Catherine
Lagrange, IL 60525
Phone
(708) 482-9453
NPI assigned
Nov 3, 2016
Sex
Female
Sole proprietor
No

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
056.011745ILMDPediatric Occupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 056.011745 IL Yes

Addresses

Primary practice location

18 N. Catherine
Lagrange, IL 60525

Mailing address

18 N. Catherine
Lagrange, IL 60525

Other providers in Lagrange, IL

All providers in Lagrange, IL · Pediatric Occupational Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.