DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA MARIE DEJANOVICH, PTA

Active Sole Proprietor

LISA MARIE DEJANOVICH, PTA is a Occupational Therapist healthcare provider located in CHICAGO, Illinois. NPI 1720483134 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · CHICAGO, IL

Registration Details

NPI Number
1720483134
Provider Type
Individual
Gender
Female
NPI Issued
Oct 28, 2014 (11.751762308121 yrs)
Last Updated
Oct 28, 2014
Licenses
160.003705 (IL)
06004851A (IN)
Sole Proprietor
Yes

Practice Information

Address
13157 S CARONDOLET AVE
CHICAGO, IL, 606331703
Browse IL providers · Browse ZIP 60633
Phone
7736464126
Primary Specialty
Occupational Therapist
225200000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in CHICAGO, IL

Name Credential NPI
PATRICE LASSA PTA 1023015526
STACEY SCOTT PTA 1578519898
NICOLE CALOMENI PTA 1225085186
CELESTE ANDREWS PTA 1801836168
CYNTHIA STREETER 1700996493
MRS. SUZANNE BELMONT FINUCANE PTA 1750446555
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.