Hedge, Michelle Ann Ytac
Hedge, Michelle Ann Ytac is an individual health care provider with primary practice located at 16170 Kingsport Rd , Orland Park IL 60467-5602. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology is her primary health care specialty. Hedge, Michelle Ann Ytac can be contacted via phone (708) 326-1550.Contact Information
Primary practice address
16170 Kingsport Rd
Orland Park IL 60467-5602
Phone: (708) 326-1550
Fax: (708) 326-1557
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 3880 | Mississippi |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology | 225XG0600X | 056008720 | Illinois |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation | 225XP0019X | 056008720 | Illinois |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology | 225XG0600X | 3880 | Mississippi |
Profile Details
| NPI number | 1376920058 |
|---|---|
| LBN Legal business name | Hedge, Michelle Ann Ytac |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2015 |
| Last updated | Aug 13th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376920058 | NPPES |
| Arkansas | MEDICAID | 1346420015 |
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