Provider Demographics
NPI:1144791427
Name:KALSCH, JOYCE (OTR/L)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:KALSCH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 BARNSDALE RD
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60526-1609
Mailing Address - Country:US
Mailing Address - Phone:708-482-3003
Mailing Address - Fax:
Practice Address - Street 1:920 BARNSDALE RD
Practice Address - Street 2:
Practice Address - City:LA GRANGE PARK
Practice Address - State:IL
Practice Address - Zip Code:60526-1609
Practice Address - Country:US
Practice Address - Phone:708-482-3003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-11
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL38813225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL38813OtherILLINOIS DEPARTMENT OF PROFESSIONAL REGULATIONS/OT LICENSE NUMBER