Cullotta, Lori Ann
Cullotta, Lori Ann is an individual health care provider with primary practice located at 11411 W 183Rd St Suite B, Orland Park IL 60467-9450. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Cullotta, Lori Ann can be contacted via phone (708) 478-1820.Contact Information
Primary practice address
11411 W 183Rd St Suite B
Orland Park IL 60467-9450
Phone: (708) 478-1820
Fax: (708) 478-3316
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 056008170 | Illinois |
Profile Details
| NPI number | 1215126305 |
|---|---|
| LBN Legal business name | Cullotta, Lori Ann |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2007 |
| Last updated | Apr 2nd, 2012 - about 13 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 | 1215126305 | NPPES |
| Illinois | Other | 09932114 | BCBS ILLINOIS |
| Illinois | MEDICAID | LB04761207P | BCBS ILLINOIS |
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