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General NPI Number Information
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NPI Number | 1497146724
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Entity Type | Individual
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Provider Name | SUSAN D CHARNLEY MS, OTR/L, CHT
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Gender | Female
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Dates
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Enumeration Date | 02/09/2015
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 3450 LACEY RD
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-5430
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Country | US
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Telephone | 630-743-4500
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Fax | 623-806-7689
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Provider Business Mailing Address
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Address Line | 621 LISSON GRV
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City | NEW LENOX
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State | IL
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Zip | 60451-9561
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Country | US
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Telephone | 815-260-6294
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 056.005409
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 056.005409
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License Number State | IL
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