Provider Demographics
NPI:1215233234
Name:PAPPAS, MARIA ELIAS (OTL, MS)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ELIAS
Last Name:PAPPAS
Suffix:
Gender:F
Credentials:OTL, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10087 W LINCOLN HWY
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-1272
Mailing Address - Country:US
Mailing Address - Phone:708-790-0837
Mailing Address - Fax:
Practice Address - Street 1:10087 W LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423
Practice Address - Country:US
Practice Address - Phone:708-790-0837
Practice Address - Fax:815-469-1119
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-09
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.008246225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics