Provider Demographics
NPI:1225248412
Name:HUISENGA, KARIN A (CTRS)
Entity Type:Individual
Prefix:MS
First Name:KARIN
Middle Name:A
Last Name:HUISENGA
Suffix:
Gender:F
Credentials:CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17843 DURKIN RD
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-2153
Mailing Address - Country:US
Mailing Address - Phone:708-633-3534
Mailing Address - Fax:
Practice Address - Street 1:17843 DURKIN RD
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-2153
Practice Address - Country:US
Practice Address - Phone:708-633-3534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist