4619 N. Ravenswood Ave. Suite 204 Chicago, Il 60640
Organization Active NPI Occupational Therapy Assistant · Chicago, IL
NPI 1992481246 · NPPES record last updated Jun 22, 2023
Key facts
- NPI
- 1992481246
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- Legal business name
- 4619 N. RAVENSWOOD AVE. SUITE 204 CHICAGO, IL 60640
- Practice address
- 4619 N Ravenswood Ave Ste 204
Chicago, IL 60640-4579 - Phone
- (773) 697-7333
- NPI assigned
- Jun 22, 2023
- Organization subpart
- No
Authorized official
- Name
- Maya Elena E Horowitz, COTA/L
- Title
- Occupational Therapy Assistant
- Phone
- (773) 797-4155
Practitioners 4
-
Kaitlin Amanda Berzsenyi, M.A.
-
Maya Elena Gutierrez Horowitz, COTA/L
-
Kristin McConnell, MS, CCC-SLP
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant |
224Z00000X | Yes |
Addresses
Primary practice location
4619 N Ravenswood Ave Ste 204
Chicago, IL 60640-4579
Mailing address
4619 N Ravenswood Ave Ste 204
Chicago, IL 60640-4579
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2023. 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.