Provider Demographics
NPI:1821525403
Name:ESPEJO, MARIA (OT, CCCPA)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:ESPEJO
Suffix:
Gender:F
Credentials:OT, CCCPA
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:D
Other - Last Name:ESPEJO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT, CARDIO TECH
Mailing Address - Street 1:7310 SUNRISE AVE
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-4220
Mailing Address - Country:US
Mailing Address - Phone:773-947-4607
Mailing Address - Fax:630-708-7639
Practice Address - Street 1:7310 SUNRISE AVE
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:IL
Practice Address - Zip Code:60561-4220
Practice Address - Country:US
Practice Address - Phone:773-947-4607
Practice Address - Fax:630-708-7639
Is Sole Proprietor?:No
Enumeration Date:2017-05-15
Last Update Date:2024-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246W00000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Cardiology
No224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetistGroup - Multi-Specialty
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist