Provider Demographics
NPI:1760743082
Name:FINGER, CAROLYN (OT/L)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:FINGER
Suffix:
Gender:F
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1634 N HERMITAGE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-1401
Mailing Address - Country:US
Mailing Address - Phone:773-358-8326
Mailing Address - Fax:877-375-0619
Practice Address - Street 1:1634 N HERMITAGE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-1401
Practice Address - Country:US
Practice Address - Phone:773-358-8326
Practice Address - Fax:877-375-0619
Is Sole Proprietor?:No
Enumeration Date:2012-06-04
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056004194225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist