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NPI 1629329172ActiveOrganization· Occupational Therapist· Buffalo Grove, IL
Occupational Therapist in Buffalo Grove, Illinois, registered in NPPES in September 2012. The authorized official on file is Evangelia Harisiadis, Owner.
Overview
| NPI | 1629329172 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 24, 2012 |
| Last updated in NPPES | Aug 8, 2024 |
| Certified by provider | Aug 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 056007610 | IL |
| Behavior Analyst | 103K00000X | — | — |
| Social Worker | 104100000X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
| Physical Therapist | 225100000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 46 occupational therapists in Buffalo Grove · All occupational therapists in Illinois