Brad Edward Egan in Chicago - Occupational Therapist
Brad Edward Egan - NPI 1639384639
Brad Edward Egan is a Occupational Therapist in Chicago, Illinois. Brad Edward Egan practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Brad Edward Egan is 1639384639. The last update date is 2007-07-08.
Brad Edward Egan's current location address is 5646 N Kenmore Ave, Chicago, Illinois. You can contact this provider via phone number 8642663130. The mailing address for Brad Edward Egan is 5646 N Kenmore Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brad Edward Egan |
|---|---|
| Address | 5646 N Kenmore Ave, Chicago, Illinois |
| Phone Number | 8642663130 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OTD, OTRL |
NPI Number Detail
| NPI Number | 1639384639 |
|---|---|
| Provider Enumeration Date | 2007-05-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5646 N Kenmore Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606604621 |
| Phone Number | 8642663130 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 56006892 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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What is the unique 10-digit identification code issued to Brad Edward Egan by the Centers for Medicare & Medicaid Services?
The Brad Edward Egan has been assigned the NPI (National Provider Identifier) 1639384639 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Brad Edward Egan's facilities are geographically located?
The facilities of Brad Edward Egan are physically situated at the following location: 5646 N Kenmore Ave, Chicago, IL, 606604621.
What is Brad Edward Egan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brad Edward Egan is Occupational Therapist, and the taxonomy code that classifies this field of practice is 225X00000X.
When was the Brad Edward Egan's 1639384639 issued?
The Brad Edward Egan's 1639384639 was issued on 2007-05-12.
When was the information regarding Brad Edward Egan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Brad Edward Egan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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