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1598962334 NPI number — MARCI R KREINER MS OTR L

NPI Number: 1598962334
Health Care Provider/Practitioner: MARCI R KREINER MS OTR L

Information about “1598962334” NPI (MARCI R KREINER MS OTR L) exists in 1598962334 in HTML format HTML  |  1598962334 in plain Text format TXT  |  1598962334 in PDF (Portable Document Format) PDF  |  1598962334 in an XML format XML  formats.

NPI Number : 1598962334 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598962334",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KREINER",
    "FirstName": "MARCI",
    "MiddleName": "R",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "MS OTR L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KREINER",
    "OtherFirstName": "MARCI",
    "OtherMiddleName": "R",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MS OTR L",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "904 HUNTER ROAD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GLENVIEW",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60025",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "847-730-3302",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "225 REVERE DRIVE",
    "SecondLinePracticeLocationAddress": "#200",
    "PracticeLocationAddressCityName": "NORTHBROOK",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60062",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "847-412-4358",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/27/2007",
    "LastUpdateDate": "12/19/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": "056006834",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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