MEDICARE: MRS. WENDY LYNN OINONEN OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	056.009336	IL

General Provider Information

NPI Number	:	1003195611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. WENDY LYNN OINONEN OTR/L

Provider Business Mailing Address
First Line	:	677 WILLOW DR
Second Line	:
City	:	CAROL STREAM
State	:	IL
Zip	:	60188-4434
Country	:	US
Telephone Number	:	630-933-9036
Fax Number	:

Provider Business Practice Location Address
First Line	:	677 WILLOW DR
Second Line	:
City	:	CAROL STREAM
State	:	IL
Zip	:	60188-4434
Country	:	US
Telephone Number	:	630-933-9036
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2011
Last Update Date	:	08/12/2011

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