Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MELISSA JAYNE BANEVICH-GLAROS, OTR/L
Active Sole ProprietorMRS. MELISSA JAYNE BANEVICH-GLAROS, OTR/L is a Skilled Nursing Facility healthcare provider located in MOKENA, Illinois. NPI 1912266149 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · MOKENA, IL
Registration Details
- NPI Number
- 1912266149
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 8, 2012 (14.240947198072 yrs)
- Last Updated
- May 8, 2012
- License
-
05605261 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19350 BOULDER RIDGE DRMOKENA, IL, 604488238Browse IL providers · Browse ZIP 60448
- Phone
- 7082571009
- Primary Specialty
-
Skilled Nursing Facility
314000000X
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.