Provider Demographics
NPI:1548592389
Name:NAPOLEON, MICHELLE YVONNE (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:YVONNE
Last Name:NAPOLEON
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6300 W 95TH ST
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-2256
Mailing Address - Country:US
Mailing Address - Phone:708-233-5116
Mailing Address - Fax:708-599-8820
Practice Address - Street 1:6300 W 95TH ST
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2256
Practice Address - Country:US
Practice Address - Phone:708-233-5116
Practice Address - Fax:708-599-8820
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-04
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL057-002584224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant