Provider Demographics
NPI:1285478842
Name:DURKIN, EMILIA ANN (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:EMILIA
Middle Name:ANN
Last Name:DURKIN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:EMILIA
Other - Middle Name:ANN
Other - Last Name:DURKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:110 W SCHAUMBURG RD
Mailing Address - Street 2:
Mailing Address - City:STREAMWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60107-1459
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:110 W SCHAUMBURG RD
Practice Address - Street 2:
Practice Address - City:STREAMWOOD
Practice Address - State:IL
Practice Address - Zip Code:60107-1459
Practice Address - Country:US
Practice Address - Phone:630-394-4491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-19
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
IL056012830225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist