Provider Demographics
NPI:1427862507
Name:JILANI, UMAMA MOHAMMED (MOT, OTR/L)
Entity type:Individual
Prefix:MS
First Name:UMAMA
Middle Name:MOHAMMED
Last Name:JILANI
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7623 SUSSEX CREEK DR APT 310
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-4847
Mailing Address - Country:US
Mailing Address - Phone:310-259-5687
Mailing Address - Fax:
Practice Address - Street 1:120 E OGDEN AVE STE 17
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3542
Practice Address - Country:US
Practice Address - Phone:630-320-6904
Practice Address - Fax:630-566-4153
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056016422225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist