Provider Demographics
NPI:1881946556
Name:MAGID, MONICA H (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:H
Last Name:MAGID
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4035 SUFFIELD CT
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1946
Mailing Address - Country:US
Mailing Address - Phone:847-677-4151
Mailing Address - Fax:
Practice Address - Street 1:4035 SUFFIELD CT
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1946
Practice Address - Country:US
Practice Address - Phone:847-677-4151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-05
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056000181225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist