Individual provider · Type 1 NPI
Mary Nissen, OTR/L
Specialist · Mundelein, IL
NPI number
1548599707
Active
Practice location
328 N Shaddle Ave
Mundelein, IL 60060-2411
Fax (847) 566-9861
Mailing address
1932 W Crystal St, Unit 2
Chicago, IL 60622-3132
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 056-007166 (IL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Mundelein
About NPI 1548599707
Mary Nissen, OTR/L's National Provider Identifier is 1548599707, issued on Dec 17, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mundelein, IL. The record was last updated on Dec 17, 2009.