Susan Mary Wisniewski in Spring Grove - Occupational Therapist
Susan Mary Wisniewski - NPI 1457520033
Susan Mary Wisniewski is a Occupational Therapist in Spring Grove, Illinois. Susan Mary Wisniewski practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Susan Mary Wisniewski is 1457520033. The last update date is 2008-02-27.
Susan Mary Wisniewski's current location address is 8785 Sonoma Trl, Spring Grove, Illinois. You can contact this provider via phone number 8153490225. The mailing address for Susan Mary Wisniewski is 8785 Sonoma Trl, Spring Grove, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Mary Wisniewski |
|---|---|
| Address | 8785 Sonoma Trl, Spring Grove, Illinois |
| Phone Number | 8153490225 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1457520033 |
|---|---|
| Provider Enumeration Date | 2008-02-27 |
| Last Updated Date | 2008-02-27 |
Provider Mailing Address Detail
| Address | 8785 Sonoma Trl |
|---|---|
| City | Spring Grove |
| State | Illinois (IL) |
| Post Code | 600818255 |
| Phone Number | 8153490225 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
|
Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5615103 | IL | BLUE CROSS BLUE SHIELD | |
| 362264411001 | IL | -- |
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What is the Susan Mary Wisniewski's unique identification number?
The Susan Mary Wisniewski has been assigned the NPI (National Provider Identifier) Number 1457520033 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Susan Mary Wisniewski is located?
The Susan Mary Wisniewski is situated at the following address: 8785 Sonoma Trl, Spring Grove, IL, 600818255.
What is Susan Mary Wisniewski's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Susan Mary Wisniewski's specialized field of practice is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225X00000X.
When did Susan Mary Wisniewski receive its 1457520033 assignment?
The Susan Mary Wisniewski was assigned its 1457520033 on 2008-02-27, which is the date when this unique identifier was issued to the organization.
As of what date were the Susan Mary Wisniewski's details last updated?
The information pertaining to the Susan Mary Wisniewski, including its address, specialty, and other details, was most recently updated on 2008-02-27.
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