IndividualActive
Alicia Medina, OTR/L
NPI 1740625391 · Contractor · Gurnee, IL
Provider details
- NPI number
- 1740625391
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 056009652 (IL)
Specialties & taxonomies
Other Service Providers
Practice location
6889 Hampton Cir
Gurnee, IL 60031-4019
Phone: (224) 717-0313
Approximate (ZIP-level) locationGet directions
Mailing address
6889 Hampton Cir
Gurnee, IL 60031-4019
Registry dates
- Enumerated
- 2013-05-08
- Last updated
- 2013-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.