Provider Demographics
NPI:1144400334
Name:WOLGEL, REGINA SOKALER (OTR/L)
Entity Type:Individual
Prefix:
First Name:REGINA
Middle Name:SOKALER
Last Name:WOLGEL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MRS
Other - First Name:REGINA
Other - Middle Name:ALISE
Other - Last Name:WOLGEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/L
Mailing Address - Street 1:3639 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1901
Mailing Address - Country:US
Mailing Address - Phone:773-750-5000
Mailing Address - Fax:847-574-8009
Practice Address - Street 1:3639 GROVE ST
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1901
Practice Address - Country:US
Practice Address - Phone:773-750-5000
Practice Address - Fax:847-574-8009
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-06
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.003103174400000X
IL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist