Jenna Walczak
Individual provider Active NPI Occupational Therapist · Wadsworth, IL
NPI 1962270702 · NPPES record last updated Dec 12, 2023
Key facts
- NPI
- 1962270702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- Practice address
- 13205 W Chaplin St
Wadsworth, IL 60083-8624 - Phone
- (847) 863-7426
- NPI assigned
- Dec 12, 2023
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Yes |
Addresses
Primary practice location
13205 W Chaplin St
Wadsworth, IL 60083-8624
Mailing address
13205 W Chaplin St
Wadsworth, IL 60083-8624
Other providers in Wadsworth, IL
- Tricia A Schwartz
- Nancy Lee Scott
- Colleen Shilling
- Erin Sloan
- Jennifer Vanko
- We Simply Care Transport & Services LLC
- Alison Bonthron Worth
All providers in Wadsworth, 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 Dec 12, 2023. 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.