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

Vivian Medrano

Individual provider Occupational Therapy Assistant · NPI 1801611991

Vivian Medrano is an Occupational Therapy Assistant in Deerfield, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2024

Practice location Address checks out

707 Lake Cook Rd Ste 312
Deerfield, IL 60015-4933
Phone: (877) 486-4140
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 950 Lee St, Des Plaines, IL 60016-6532 — (877) 486-4140

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 057006126 (IL)

Record details

NPI number1801611991
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 22, 2024
Last updated in NPPESNovember 22, 2024
Certification dateNovember 21, 2024
Mailing address3443 S Leavitt St, Chicago, IL 60608-6020

Other providers in Deerfield