Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 056.004597 | IL |
N | 225XM0800X | Mental Health | 056004597 | IL |
N | 225XP0200X | Occupational Therapist - Pediatrics | 056004597 | IL |
NPI | 1063885200 |
---|---|
Provider Name | Dr. Susan M Cahill |
First Address | Lemont, IL 60439-4869 |
Second Address | Lemont, IL 60439-4869 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2015 |
Last Update Date | 10/11/2015 |