Provider Demographics
NPI:1558942490
Name:SEYMOUR, MEGHAN EILEEN (OTR)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:EILEEN
Last Name:SEYMOUR
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:338 PEARL ST
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:IL
Mailing Address - Zip Code:60013-2265
Mailing Address - Country:US
Mailing Address - Phone:847-778-3342
Mailing Address - Fax:
Practice Address - Street 1:3300 CHARLES J MILLER MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050
Practice Address - Country:US
Practice Address - Phone:779-244-4111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist