Jhaneil Afflick

Individual provider Active NPI Occupational Therapy Assistant · Glenview, IL

NPI 1265102479 · NPPES record last updated Sep 18, 2021

Key facts

NPI
1265102479
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
18409 (FL)
Practice address
2600 Compass Rd
Glenview, IL 60026-8001
Phone
(877) 787-3430
NPI assigned
Sep 18, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
18409FLMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 18409 FL
Occupational Therapy Assistant 224Z00000X 18409 FL Yes

Addresses

Primary practice location

2600 Compass Rd
Glenview, IL 60026-8001

Mailing address

5401 William Grant Way Apt 103
Tampa, FL 33610-4185

Other providers in Glenview, IL

All providers in Glenview, IL · Occupational Therapy Assistant in Illinois

Sources for this page

Verify at the official NPI Registry.