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Search › Illinois › Early Intervention Provider Agency

Phoebe Jerousek, OTD, OTR/L

NPI 1922486265 · on the registry since 2015 · sole proprietor

Practice

Address
1204 Wesley Ave
Evanston, IL 60202
Phone
(773) 595-5640

Registry record

Primary taxonomy
Early Intervention Provider Agency
252Y00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois