Individual
MARIA LUNA MEDLICOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
622 W LAKE ST, ADDISON, IL 60101-2205
(800) 974-4378
(630) 515-1536
Mailing address
24014 W RENWICK RD STE 206, PLAINFIELD, IL 60544-8711
(800) 974-4378
(630) 515-1536
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.016774
IL
225XP0200X
Pediatric Occupational Therapist
056-016774
IL
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
08/15/2025
Last updated
08/03/2026
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