Active NPI
Elaine Renee Panek, OTR
- Occupational Therapist
- Arlington Heights, IL
National Provider Identifier
1891067278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056002618
- Practice address
- 3926 N Galena Ave
Arlington Heights, IL 60004-1202 - Phone
- (847) 259-0962
- NPI assigned
- Feb 1, 2012
- Last updated
- Feb 1, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056002618 | IL | Primary |
Addresses
Primary practice location
3926 N Galena Ave
Arlington Heights, IL 60004-1202
Mailing address
3926 N Galena Ave
Arlington Heights, IL 60004-1202
Phone (847) 259-0962
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056002618 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328054400000",
"number": "1891067278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3926 N GALENA AVE",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600041202",
"telephone_number": "847-259-0962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3926 N GALENA AVE",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600041202",
"telephone_number": "847-259-0962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANEK",
"first_name": "ELAINE",
"middle_name": "RENEE",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-01",
"last_updated": "2012-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056002618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.