SearchIllinois224Z00000X

Susan Banjavcic, COTA L

NPI 1922290774 · on the registry since 2007

Practice

Address
650 Academic Drive
School District #158
Algonquin, IL 60102
Phone
(847) 659-6158
Fax
(847) 659-6122

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-08-15

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