Provider Demographics
NPI:1235253998
Name:CHESLOW, KAREN L
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:L
Last Name:CHESLOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:394 EVERGREEN CIR
Mailing Address - Street 2:
Mailing Address - City:GILBERTS
Mailing Address - State:IL
Mailing Address - Zip Code:60136-4050
Mailing Address - Country:US
Mailing Address - Phone:847-322-5978
Mailing Address - Fax:
Practice Address - Street 1:394 EVERGREEN CIR
Practice Address - Street 2:
Practice Address - City:GILBERTS
Practice Address - State:IL
Practice Address - Zip Code:60136-4050
Practice Address - Country:US
Practice Address - Phone:847-322-5978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL56002021225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist