Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KONRAD MLECZKO
Active Sole ProprietorKONRAD MLECZKO is a Occupational Therapy Assistant healthcare provider located in LINCOLNSHIRE, Illinois. NPI 1871132829 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · LINCOLNSHIRE, IL
Registration Details
- NPI Number
- 1871132829
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 22, 2019 (6.683920418117 yrs)
- Last Updated
- Dec 22, 2019
- License
-
057004563 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
150 JAMESTOWN LNLINCOLNSHIRE, IL, 600692119Browse IL providers · Browse ZIP 60069
- Phone
- 2245437100
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
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.