Individual
MS. ANITA MICHELLE PUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2820 W ARMITAGE AVE STE 4, ACCELERATED REHABILITATION CENTERS LTD, CHICAGO, IL 60647-6318
(773) 394-0796
(773) 394-3342
Mailing address
205 W WACKER DR, SUITE 1020, CHICAGO, IL 60606-1216
(312) 640-0329
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
056001471
IL
225X00000X
Occupational Therapist
056001471
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619908
BCBS IL GROUP
IL
01
—
599990
MEDICARE GROUP NUMBER
IL
01
—
600040
MEDICARE GROUP NUMBER
IL
Enumeration date
01/22/2007
Last updated
12/03/2008
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