Mr Jeffrey Edward Richardson, OT is a
Occupational Therapist - Physical Rehabilitation based in Great Lakes, Illinois. Mr Jeffrey Edward Richardson is licensed to practice in Illinois (license number 273161) and his current practice location is
1801 Alabama Ave, Great Lakes, Illinois. He can be reached at his office (for appointments etc.) via phone at
(224) 456-4225.
NPI number for Mr Jeffrey Edward Richardson is 1245548007 and his current mailing address is 1801 Alabama Ave, Great Lakes, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245548007.
Healthcare Provider's Profile
Full Name | Mr Jeffrey Edward Richardson |
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Gender | Male |
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Speciality | Occupational Therapist - Physical Rehabilitation |
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Location | 1801 Alabama Ave, Great Lakes, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245548007
- Provider Enumeration Date: 09/15/2010
- Last Update Date: 09/15/2010
Medical Identifiers
Medical identifiers for Mr Jeffrey Edward Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245548007 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225XP0019X | Occupational Therapist - Physical Rehabilitation | 273161 (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. Mr Jeffrey Edward Richardson 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 |
Mr Jeffrey Edward Richardson, OT 1801 Alabama Ave, Great Lakes, IL 60088-4246 Ph: (224) 456-4225 | Mr Jeffrey Edward Richardson, OT 1801 Alabama Ave, Great Lakes, IL 60088-4246 Ph: (224) 456-4225 |
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