Joyce Ellen Berger
Individual provider Active NPI Occupational Therapist · Lake Forest, IL
NPI 1861783482 · NPPES record last updated Apr 30, 2011
Key facts
- NPI
- 1861783482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 056-000744 (IL)
- Practice address
- 600 N Bradley Rd
Lake Forest, IL 60045-1020 - Phone
- (847) 615-8696
- Fax
- (847) 615-8656
- NPI assigned
- Apr 30, 2011
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 056-000744 | IL | MD | Pediatric Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056-000744 | IL | Yes |
| Neurorehabilitation Occupational Therapist | 225XN1300X | 056-000744 | IL | |
| Pediatric Occupational Therapist | 225XP0200X | 056-000744 | IL |
Addresses
Primary practice location
600 N Bradley Rd
Lake Forest, IL 60045-1020
Mailing address
1781 Hackberry LN
Lake Forest, IL 60045-3515
Phone (847) 615-8162
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891028247 | Other | IL | EQUESTRIAN CONNECTION NFP |
Other names
- Mr. Joyce Ellen Downie
Other providers in Lake Forest, IL
- Michael Belmont
- John William Benge
- Adam W. Bennett
- Ann Benny Stephen
- Deborah L Berg
- Mimi Claire Bergman
- Mark Allan Berk
- Samantha Berkson
- Harold G. Berner
- Stephanie Berry
All providers in Lake Forest, 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 30, 2011. 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.