Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FANOR BENAVIDEZ
Active Sole ProprietorFANOR BENAVIDEZ is a Occupational Therapy Assistant healthcare provider located in LA GRANGE, Illinois. NPI 1316793011 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · LA GRANGE, IL
Registration Details
- NPI Number
- 1316793011
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2024 (2.3348301573829 yrs)
- Last Updated
- Apr 24, 2024
- License
-
057.005735 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
35 SHAWMUT AVELA GRANGE, IL, 605258648Browse IL providers · Browse ZIP 60525
- Phone
- 7082069899
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in LA GRANGE, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. CASSANDRA DENISE GILL | COTA/L | 1003183351 |
| ALICIA THOMAS | — | 1750766010 |
| JOAN WELCH | COTA | 1679004055 |
| MRS. KRISTEN THERESA BURKE | — | 1508489907 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.