Provider Demographics
NPI:1326055799
Name:LENLING, MARY (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:
Last Name:LENLING
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:
Other - Last Name:LENLING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:25515 WARWICK RD
Mailing Address - Street 2:
Mailing Address - City:TOWER LAKES
Mailing Address - State:IL
Mailing Address - Zip Code:60010-1239
Mailing Address - Country:US
Mailing Address - Phone:847-487-4658
Mailing Address - Fax:847-487-9662
Practice Address - Street 1:25515 WARWICK RD
Practice Address - Street 2:
Practice Address - City:TOWER LAKES
Practice Address - State:IL
Practice Address - Zip Code:60010-1239
Practice Address - Country:US
Practice Address - Phone:847-487-4658
Practice Address - Fax:847-487-9662
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist