Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Mary Patrice Black, OTR

Individual provider Occupational Therapist · NPI 1336723543

MS. Mary Patrice Black, OTR is an Occupational Therapist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2021
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1415 W Foster Ave
Chicago, IL 60640-2288
Phone: (773) 569-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 056001652 (IL)

Record details

NPI number1336723543
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedMay 12, 2021
Last updated in NPPESMay 12, 2021
Certification dateMay 12, 2021

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