Janine Dawn Felchlin
Individual provider Active NPI Occupational Therapy Assistant · Caseyville, IL
NPI 1295080158 · NPPES record last updated Jul 17, 2012
Key facts
- NPI
- 1295080158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 057002066 (IL)
- Practice address
- 601 W Lincoln Ave
Caseyville, IL 62232-1306 - Phone
- (618) 344-9355
- Fax
- (618) 344-9356
- NPI assigned
- Jul 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057002066 | IL | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 057002066 | IL | Yes |
Addresses
Primary practice location
601 W Lincoln Ave
Caseyville, IL 62232-1306
Mailing address
199 Woodland Dr
Edwardsville, IL 62025-5347
Phone (618) 979-2076
Other names
- Janine Dawn Nicolay
Other providers in Caseyville, IL
- Kimberly Paige Cinelli-Hampton
- Lori Lee Eberhart
- James V Eisele
- Eisele'S Caseyville Pharm
- Family Renewed, LLC
- Gateway Foundation Inc.
- Gateway Foundation, Inc.
- Gateway Foundation, Inc.
- Gateway Professional Services, PC
- Jessica Giddens
All providers in Caseyville, IL · Occupational Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.