Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY NISSEN, OTR/L
Active Sole ProprietorMARY NISSEN, OTR/L is a Specialist healthcare provider located in MUNDELEIN, Illinois. NPI 1548599707 is currently active in the NPPES registry. Verify at CMS.
Specialist · MUNDELEIN, IL
Registration Details
- NPI Number
- 1548599707
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 17, 2009 (16.685451147622 yrs)
- Last Updated
- Dec 17, 2009
- License
-
056-007166 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
328 N SHADDLE AVEMUNDELEIN, IL, 600602411Browse IL providers · Browse ZIP 60060
- Phone
- 8475669860
- Fax
- 8475669861
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in MUNDELEIN, IL
| Name | Credential | NPI |
|---|---|---|
| MISS SUSAN NASH | PT | 1366462020 |
| MS. JEANNE M. CYGNUS | IBCLC, PMH-C | 1154537389 |
| SYLVIA SIWINSKI | — | 1265603286 |
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.