Jessica Cora Saucillo, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

401 W Lake St
Northlake, IL 60164-2435

Phone

(708) 384-8073

NPI assigned

Jul 6, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341532800000",
    "number": "1770848699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 S 10TH AVE",
            "city": "BROADVIEW",
            "state": "IL",
            "postal_code": "601554829",
            "telephone_number": "478-973-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W LAKE ST",
            "city": "NORTHLAKE",
            "state": "IL",
            "postal_code": "601642435",
            "telephone_number": "708-384-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUCILLO",
        "first_name": "JESSICA",
        "middle_name": "CORA",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-06",
        "last_updated": "2012-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Robbin, M.S., CCC-SLP/L
• Keith P. Rojek, DDS
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• Joseph David Stahler, LSW

• All providers in Northlake, IL
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.