Angela Bertucci, OTR/L
Individual provider Active NPI Occupational Therapist · Bridgeview, IL
NPI 1851754071 · NPPES record last updated Apr 4, 2016
Key facts
- NPI
- 1851754071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 056.011451 (IL)
- Practice address
- 8955 Southfield Dr
Bridgeview, IL 60455-2036 - Phone
- (708) 715-8882
- NPI assigned
- Apr 4, 2016
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 056.011451 | IL | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056.011451 | IL | Yes |
Addresses
Primary practice location
8955 Southfield Dr
Bridgeview, IL 60455-2036
Mailing address
8955 Southfield Dr
Bridgeview, IL 60455-2036
Other providers in Bridgeview, IL
- Christine Marie Baggiani-Floros
- Heather Vargo Ballack
- Barbara R Moline, MSW, LCSW. LTD.
- Kathleen E Barrett
- Valerie Lynn Bennecke
- Katherine Leigh Bertucci
- James Boblak
- Kathleen Bordelon
- Joshua Allen Bradshaw
- Bridgeview Dental Management
All providers in Bridgeview, IL · 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 Apr 4, 2016. 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.