Vini Pearlman

Individual provider Active NPI Occupational Therapist · Fox River Grove, IL

NPI 1962026989 · NPPES record last updated Jun 5, 2020

Key facts

NPI
1962026989
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
056007348 (IL)
Practice address
26 Brighton CT
Fox River Grove, IL 60021-1865
Phone
(847) 767-2479
NPI assigned
Jun 5, 2020
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
056007348ILMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056007348 IL Yes

Addresses

Primary practice location

26 Brighton CT
Fox River Grove, IL 60021-1865

Mailing address

26 Brighton CT
Fox River Grove, IL 60021-1865
Phone (847) 767-2479

Other providers in Fox River Grove, IL

All providers in Fox River Grove, IL · Occupational Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.