Provider Demographics
NPI:1598167744
Name:MOCERI, SIMA (MS, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:SIMA
Middle Name:
Last Name:MOCERI
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:SIMA
Other - Middle Name:
Other - Last Name:RASHIDIANFAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1335 W RANDOLPH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-1529
Mailing Address - Country:US
Mailing Address - Phone:312-243-0977
Mailing Address - Fax:312-243-0997
Practice Address - Street 1:1335 W RANDOLPH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-1529
Practice Address - Country:US
Practice Address - Phone:312-243-0977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-18
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.010724225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist