Provider Demographics
NPI:1043035322
Name:ENGLISH, DARRYL CHAUNCEY I (COTA/L)
Entity type:Individual
Prefix:MR
First Name:DARRYL
Middle Name:CHAUNCEY
Last Name:ENGLISH
Suffix:I
Gender:M
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14646 SPAULDING AVE
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:IL
Mailing Address - Zip Code:60426-1649
Mailing Address - Country:US
Mailing Address - Phone:708-913-8185
Mailing Address - Fax:
Practice Address - Street 1:14646 SPAULDING AVE
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:IL
Practice Address - Zip Code:60426-1649
Practice Address - Country:US
Practice Address - Phone:708-913-8185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL057004878224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant