Krista Ruth Bock Mangan in Chicago - Occupational Therapist
Krista Ruth Bock Mangan - NPI 1043367592
Krista Ruth Bock Mangan is a Occupational Therapist in Chicago, Illinois. Krista Ruth Bock Mangan practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Krista Ruth Bock Mangan is 1043367592. The last update date is 2007-07-08.
Krista Ruth Bock Mangan's current location address is 10523 S Drake Ave, Chicago, Illinois. You can contact this provider via phone number 7734290103. The mailing address for Krista Ruth Bock Mangan is 10523 S Drake Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Krista Ruth Bock Mangan |
---|---|
Address | 10523 S Drake Ave, Chicago, Illinois |
Phone Number | 7734290103 |
Fax Number | |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1043367592 |
---|---|
Provider Enumeration Date | 2007-01-05 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 10523 S Drake Ave |
---|---|
City | Chicago |
State | Illinois (IL) |
Post Code | 60655 |
Phone Number | 7734290103 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Occupational Therapist |
---|---|
Taxonomy | 225X00000X |
Licence No | 560004157 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1626024 | IL | BLUE CROSS BLUE SHIELD IL |
Post Comment/ Review Below
What is the unique identifier code issued to Krista Ruth Bock Mangan by the Centers for Medicare & Medicaid Services?
The Krista Ruth Bock Mangan has been assigned the NPI (National Provider Identifier) 1043367592. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Krista Ruth Bock Mangan is physically located?
The Krista Ruth Bock Mangan is physically situated at the following address: 10523 S Drake Ave, Chicago, IL, 60655.
What is Krista Ruth Bock Mangan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Krista Ruth Bock Mangan's area of specialization is Occupational Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1043367592 to Krista Ruth Bock Mangan?
The Centers for Medicare & Medicaid Services originally issued the 1043367592 to Krista Ruth Bock Mangan on 2007-01-05.
As of what date was the information pertaining to Krista Ruth Bock Mangan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Krista Ruth Bock Mangan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1801899679
Address: 9421 Eastside Drive Extention, Newton, MS
NPI Number: 1689676850
Address: 805 Burkesville St, Columbia, KY
NPI Number: 1780688671
Address: 1411 W Broadway, Centralia, IL