Lisa C Jenz-Siblik, OTR/L
Individual provider Active NPI Occupational Therapist · Elburn, IL
NPI 1376972612 · NPPES record last updated Nov 7, 2013
Key facts
- NPI
- 1376972612
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 056.004648 (IL)
- Practice address
- 1460 Melbourne St
Elburn, IL 60119-8402 - Phone
- (630) 365-6051
- NPI assigned
- Nov 7, 2013
- 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 |
|---|---|---|---|
| 056.004648 | IL | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056.004648 | IL | Yes |
Addresses
Primary practice location
1460 Melbourne St
Elburn, IL 60119-8402
Mailing address
1460 Melbourne St
Elburn, IL 60119-8402
Phone (630) 365-6051
Other providers in Elburn, IL
- Meghan Hill
- Keith E. Hougas
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- Johanna Jameson
- Joseph David Jaszczak
- Lance Johnson
- Julia Lynn Kelley
- Lisa Ann Kelly
- Harry F Krauspe
- Tessa Mackenzie Lee
All providers in Elburn, IL · Occupational Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2013. 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.