Provider Demographics
NPI:1558134494
Name:WINDY CITY O.T. PLLC
Entity Type:Organization
Organization Name:WINDY CITY O.T. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRETTI
Authorized Official - Suffix:
Authorized Official - Credentials:MOTR/L
Authorized Official - Phone:314-805-7275
Mailing Address - Street 1:2045 W SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-6301
Mailing Address - Country:US
Mailing Address - Phone:314-805-7275
Mailing Address - Fax:
Practice Address - Street 1:2045 W SCHOOL ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-6301
Practice Address - Country:US
Practice Address - Phone:314-805-7275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty