Provider Demographics
NPI:1598962334
Name:KREINER, MARCI R (MS OTR L)
Entity Type:Individual
Prefix:MS
First Name:MARCI
Middle Name:R
Last Name:KREINER
Suffix:
Gender:F
Credentials:MS OTR L
Other - Prefix:
Other - First Name:MARCI
Other - Middle Name:R
Other - Last Name:KREINER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS OTR L
Mailing Address - Street 1:904 HUNTER ROAD
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025
Mailing Address - Country:US
Mailing Address - Phone:847-730-3302
Mailing Address - Fax:
Practice Address - Street 1:225 REVERE DRIVE
Practice Address - Street 2:#200
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062
Practice Address - Country:US
Practice Address - Phone:847-412-4358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056006834225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist