# BETH DODGE, INC.

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

## Provider details

- **NPI number:** 1407116726
- **Authorized official:** BETH ELLEN DODGE OTR/L (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (773) 633-9662

## Contact information

- **Practice address:** 820 NORTH BLVD, SUITE B, OAK PARK, IL 60301-1351
- **Practice address phone:** (708) 524-2445
- **Mailing address:** 223 S CUYLER AVE, OAK PARK, IL 60302-3301
- **Mailing address phone:** (773) 633-9662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 056.002463 | IL | Yes |

## Other

- **Enumeration date:** 05/21/2012
- **Last updated:** 05/21/2012