Cailyn Cruz
Individual provider Active NPI Occupational Therapy Assistant · Crete, IL
NPI 1831792126 · NPPES record last updated Nov 18, 2020
Key facts
- NPI
- 1831792126
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- Practice address
- 1251 E Richton Rd
Crete, IL 60417-1623 - Phone
- (708) 672-6700
- NPI assigned
- Nov 18, 2020
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant |
224Z00000X | IL | Yes |
Addresses
Primary practice location
1251 E Richton Rd
Crete, IL 60417-1623
Mailing address
108 Elm St
Park Forest, IL 60466-1744
Phone (708) 295-6627
Other providers in Crete, IL
- Kevin Commodore
- Cierra Cook
- Crete TWP Fire Protection District
- Crete-Monee School District 201U
- Crete-Monee School District 201U
- H Todd Cubbon
- Jill Suzanne Davids
- Ruth Elaine Deyoung
- Denise Dinan
- Distinct Home Health Care LLC
All providers in Crete, IL · Occupational Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2020. 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.