Healthcare Provider Details

I. General information

NPI: 1013844653
Provider Name (Legal Business Name): MARGARET TIJANIC OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E EVERGREEN AVE STE 103
MOUNT PROSPECT IL
60056-3240
US

IV. Provider business mailing address

1116 E DOGWOOD LN
MOUNT PROSPECT IL
60056-1412
US

V. Phone/Fax

Practice location:
  • Phone: 847-525-6150
  • Fax:
Mailing address:
  • Phone: 847-525-6150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number056.012882
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: