MARY NISSEN, OTR/L

Specialist

Active Individual
NPI: 1548599707

Practice Address

328 N SHADDLE AVE
Mundelein, IL 60060

Phone: (847) 566-9860

Specialties

Specialty Code Primary License
Specialist 174400000X Yes 056-007166 (IL)

Frequently Asked Questions

NPI 1548599707 is the National Provider Identifier for MARY NISSEN, OTR/L, a Specialist provider located in Mundelein, IL. This NPI was enumerated on December 17, 2009.
MARY NISSEN, OTR/L practices at 328 N SHADDLE AVE, Mundelein, IL 60060.

Quick Facts

NPI
1548599707
Type
Individual
Enumerated
Dec 17, 2009
Last Updated
Dec 17, 2009

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