Doctor Name: | MS. SUZANNE C. OBAN |
NPI Number: | 1568554228 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L.CHT |
License Number: | 056001363 |
Business Practice Address: | 1009 Il Route 22 Suite 1 Fox River Grove, IL - 600211998 |
Business Phone Number: | 8474628707 |
Business Fax Number: | 8474629208 |
Mailing Address: | 1550 N Northwest Highway, Suite 220 PARK RIDGE |
State: | IL |
Postal Code: | 60068 |
Phone Number: | 8472987024 |
Fax Number: | 8472987155 |
NPI Enumeration Date: | 09/29/2006 |
NPI Last Update Date: | 07/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 056001363 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |