Provider Demographics
NPI:1316069875
Name:SAUCK, MARGARET LYNN (OTR)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:LYNN
Last Name:SAUCK
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5401 MARTIN LN
Mailing Address - Street 2:
Mailing Address - City:HANOVER PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60133-5116
Mailing Address - Country:US
Mailing Address - Phone:630-370-0217
Mailing Address - Fax:630-837-8337
Practice Address - Street 1:5401 MARTIN LN
Practice Address - Street 2:
Practice Address - City:HANOVER PARK
Practice Address - State:IL
Practice Address - Zip Code:60133-5116
Practice Address - Country:US
Practice Address - Phone:630-370-0217
Practice Address - Fax:630-837-8337
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.000170225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL2322694OtherUNITED HEALTH CARE
IL2232792OtherBLUE CROSS BLUE SHEILD