Provider Demographics
NPI:1023309713
Name:ARONSON, EILEEN (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:EILEEN
Middle Name:
Last Name:ARONSON
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 1:6840 N SACRAMENTO AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-2740
Mailing Address - Country:US
Mailing Address - Phone:773-274-7205
Mailing Address - Fax:773-274-7205
Practice Address - Street 1:6840 N SACRAMENTO AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60645-2740
Practice Address - Country:US
Practice Address - Phone:773-274-7205
Practice Address - Fax:773-274-7205
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-28
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056004211225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist