Susan Jean Banjavcic in Algonquin - Occupational Therapy Assistant
Susan Jean Banjavcic - NPI 1922290774
Susan Jean Banjavcic is a Occupational Therapy Assistant in Algonquin, Illinois. Susan Jean Banjavcic practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Susan Jean Banjavcic is 1922290774. The last update date is 2007-08-15.
Susan Jean Banjavcic's current location address is 650 Academic Drive, Algonquin, Illinois. You can contact this provider via phone number 8476596158 and fax number 8476596122. The mailing address for Susan Jean Banjavcic is 650 Academic Drive, Algonquin, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Susan Jean Banjavcic |
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Address | 650 Academic Drive, Algonquin, Illinois |
Phone Number | 8476596158 |
Fax Number | 8476596122 |
Sole Proprietor | N |
Credentials | COTA L |
NPI Number Detail
NPI Number | 1922290774 |
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Provider Enumeration Date | 2007-08-15 |
Last Updated Date | 2007-08-15 |
Provider Mailing Address Detail
Address | 650 Academic Drive |
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City | Algonquin |
State | Illinois (IL) |
Post Code | 60102 |
Phone Number | 8476596158 |
Fax Number | 8476596122 |
Provider's Primary Taxonomy Detail
Speciality | Occupational Therapy Assistant |
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Taxonomy | 224Z00000X |
Definition: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed |
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What is the Susan Jean Banjavcic's unique identification number?
The Susan Jean Banjavcic has been assigned the NPI (National Provider Identifier) Number 1922290774 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Susan Jean Banjavcic's physical address?
The Susan Jean Banjavcic is physically located at 650 Academic Drive, in the city of Algonquin, IL, with the postal code 60102.
What is Susan Jean Banjavcic's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Susan Jean Banjavcic is Occupational Therapy Assistant, and the taxonomy code that categorizes this field of expertise is 224Z00000X.
On what date was the 1922290774 assigned to Susan Jean Banjavcic?
The Susan Jean Banjavcic was issued its 1922290774 on 2007-08-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Susan Jean Banjavcic most recently updated or revised?
The information pertaining to Susan Jean Banjavcic, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-15.