Provider Demographics
NPI:1457482135
Name:VERENSKI, DARLENE M (PT)
Entity Type:Individual
Prefix:MS
First Name:DARLENE
Middle Name:M
Last Name:VERENSKI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 WASHINGTON ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-5717
Mailing Address - Country:US
Mailing Address - Phone:847-336-2616
Mailing Address - Fax:847-336-2676
Practice Address - Street 1:3900 WASHINGTON ST
Practice Address - Street 2:SUITE B
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-5717
Practice Address - Country:US
Practice Address - Phone:847-336-2616
Practice Address - Fax:847-336-2676
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK26351Medicare ID - Type UnspecifiedMEDICARE