Provider Demographics
NPI:1447142526
Name:STEWART, IRELAND ELIZABETH (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:IRELAND
Middle Name:ELIZABETH
Last Name:STEWART
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9919 154TH ST W
Mailing Address - Street 2:
Mailing Address - City:TAYLOR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:61284-9545
Mailing Address - Country:US
Mailing Address - Phone:309-236-9314
Mailing Address - Fax:
Practice Address - Street 1:9919 154TH ST W
Practice Address - Street 2:
Practice Address - City:TAYLOR RIDGE
Practice Address - State:IL
Practice Address - Zip Code:61284-9545
Practice Address - Country:US
Practice Address - Phone:309-236-9314
Practice Address - Fax:309-236-9314
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0008933225X00000X
UT14229218-4201225X00000X
IA133512225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist