Provider Demographics
NPI:1588546949
Name:SKAGGS, SUZANNE (OTR/L)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:
Last Name:SKAGGS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26537 W OLD FARM TRL
Mailing Address - Street 2:
Mailing Address - City:CHANNAHON
Mailing Address - State:IL
Mailing Address - Zip Code:60410-5612
Mailing Address - Country:US
Mailing Address - Phone:815-503-1925
Mailing Address - Fax:
Practice Address - Street 1:24530 SAND CREEK CT
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60586-4008
Practice Address - Country:US
Practice Address - Phone:779-234-8997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056012376225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist