# HEALTHPRO HERITAGE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093205320
- **Authorized official:** MEGHA P SHAH OTR/L (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (773) 398-1756

## Contact information

- **Practice address:** 634 ACADEMY DR, NORTHBROOK, IL 60062-2421
- **Practice address phone:** (847) 637-5151
- **Mailing address:** 6618 N SEELEY AVE, CHICAGO, IL 60645-5104
- **Mailing address phone:** (773) 398-1756

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 056.012503 | IL | Yes |

## Other

- **Enumeration date:** 05/11/2018
- **Last updated:** 05/11/2018