Cheyenne Renee Durham, OT is a
Occupational Therapist based in Edwardsville, Illinois. Cheyenne Renee Durham is licensed to practice in Illinois (license number 056015934) and her current practice location is
1047 Century Dr, Edwardsville, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 307-3434.
NPI number for Cheyenne Renee Durham is 1316412000 and her current mailing address is 2122 York Rd Ste 300, Oak Brook, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316412000.
Healthcare Provider's Profile
Full Name | Cheyenne Renee Durham |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 1047 Century Dr, Edwardsville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316412000
- Provider Enumeration Date: 10/09/2018
- Last Update Date: 03/12/2024
Medical Identifiers
Medical identifiers for Cheyenne Renee Durham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316412000 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
225X00000X | Occupational Therapist | 056015934 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cheyenne Renee Durham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Cheyenne Renee Durham, OT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980 | Cheyenne Renee Durham, OT 1047 Century Dr, Edwardsville, IL 62025-3772 Ph: (618) 307-3434 |
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