1376637595 NPI number — MRS. ARLENE MARIE PIPER OTRL CHT

Table of content: MRS. ARLENE MARIE PIPER OTRL CHT (NPI 1376637595)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376637595 NPI number — MRS. ARLENE MARIE PIPER OTRL CHT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PIPER
Provider First Name:
ARLENE
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
OTRL CHT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376637595
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
318 CIRCLE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOMBARD
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60148-3447
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
630-627-9384
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2001 MIDWEST ROAD
Provider Second Line Business Practice Location Address:
SUITE LL44 OAKBROOK HAND REHABILITATION
Provider Business Practice Location Address City Name:
OAKBROOK
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60523-1343
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-495-9731
Provider Business Practice Location Address Fax Number:
630-495-9732
Provider Enumeration Date:
10/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225XH1200X , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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