Active NPI
Wendy Chotiner, MS, CTRS
- Recreation Therapist
- Bannockburn, IL
National Provider Identifier
1780859751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 54258
- Practice address
- 2225 Lakeside Dr
Bannockburn, IL 60015-1265 - Phone
- (847) 234-0687
- NPI assigned
- Apr 29, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 54258 | IL | Primary |
Addresses
Primary practice location
2225 Lakeside Dr
Bannockburn, IL 60015-1265
Mailing address
1960 N Lincoln Park W
Apt #2509
Chicago, IL 60614-5487
Phone (847) 567-6699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54258 | IL | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1780859751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1960 N LINCOLN PARK W",
"address_2": "APT #2509",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606145487",
"telephone_number": "847-567-6699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 LAKESIDE DR",
"city": "BANNOCKBURN",
"state": "IL",
"postal_code": "600151265",
"telephone_number": "847-234-0687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOTINER",
"first_name": "WENDY",
"credential": "MS, CTRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-29",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "IL",
"license": "54258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bannockburn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.