Catherine Brasic
Individual provider Active NPI Occupational Therapist · Niles, IL
NPI 1992254387 · NPPES record last updated Sep 26, 2016
Key facts
- NPI
- 1992254387
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 056.011625 (IL)
- Practice address
- 6631 N Milwaukee Ave
Niles, IL 60714-4416 - Phone
- (847) 647-7444
- NPI assigned
- Sep 26, 2016
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.011625 | IL | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056.011625 | IL | Yes |
Addresses
Primary practice location
6631 N Milwaukee Ave
Niles, IL 60714-4416
Mailing address
6631 N Milwaukee Ave
Niles, IL 60714-4416
Phone (847) 647-7444
Other providers in Niles, IL
- Suzanne M Bono
- Maria Andreea Bordeianu
- Marina Borochin
- Noemi N Borrillo
- Simon Boyarskiy
- Jeffrey Theodore Brasky
- Elena Bresler
- Elaina Bridich
- Brighter Mind Therapy LLC
- Brikha Medical Center SC
All providers in Niles, 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 Sep 26, 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.