Search › Illinois › 174400000X
Mary Nissen, OTR/L
NPI 1548599707 · on the registry since 2009 · sole proprietor
Practice
- Address
- 328 N Shaddle Ave
Mundelein, IL 60060 - Phone
- (847) 566-9860
- Fax
- (847) 566-9861
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-12-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois