Provider Demographics
NPI:1033747357
Name:NAESS, JANET HILDA (MSC OTR/L)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:HILDA
Last Name:NAESS
Suffix:
Gender:F
Credentials:MSC OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 GOLF AVE
Mailing Address - Street 2:
Mailing Address - City:CLARENDON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60514-1250
Mailing Address - Country:US
Mailing Address - Phone:630-880-0572
Mailing Address - Fax:
Practice Address - Street 1:5500 S GRANT ST
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-4578
Practice Address - Country:US
Practice Address - Phone:630-655-6100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-31
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.013046225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty