Provider Demographics
NPI:1326371691
Name:ESPINA, JANET
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:
Last Name:ESPINA
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 1:5440 N CUMBERLAND AVE
Mailing Address - Street 2:101A
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60656-1490
Mailing Address - Country:US
Mailing Address - Phone:773-777-6168
Mailing Address - Fax:773-751-2031
Practice Address - Street 1:5440 N CUMBERLAND AVE
Practice Address - Street 2:101A
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60656-1490
Practice Address - Country:US
Practice Address - Phone:773-777-6168
Practice Address - Fax:773-751-2031
Is Sole Proprietor?:No
Enumeration Date:2009-09-17
Last Update Date:2009-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist