Doctor Name: | CHRISTINA SEROCKE |
NPI Number: | 1215289814 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MOT, OTR/L |
License Number: | 056.009281 |
Business Practice Address: | 4200 Mannheim Rd Schiller Park, IL - 601761872 |
Business Phone Number: | 8478015175 |
Business Fax Number: | 8478015176 |
Mailing Address: | 4200 Mannheim Rd, SCHILLER PARK |
State: | IL |
Postal Code: | 601761872 |
Phone Number: | 8478015175 |
Fax Number: | 8478015176 |
NPI Enumeration Date: | 10/05/2012 |
NPI Last Update Date: | 10/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 056.009281 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |