Provider Demographics
NPI:1609823871
Name:SEEBER, DANIEL (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:SEEBER
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13340 TIMOTHY LN
Mailing Address - Street 2:
Mailing Address - City:MOKENA
Mailing Address - State:IL
Mailing Address - Zip Code:60448-9581
Mailing Address - Country:US
Mailing Address - Phone:815-236-6313
Mailing Address - Fax:
Practice Address - Street 1:13340 TIMOTHY LN
Practice Address - Street 2:
Practice Address - City:MOKENA
Practice Address - State:IL
Practice Address - Zip Code:60448-9581
Practice Address - Country:US
Practice Address - Phone:815-236-6313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.005154225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILP00442135OtherPALMETTO GBA RAILROAD MEDICARE
IL0009932606OtherBLUE CROSS BLUE SHIELD
ILP00442135OtherPALMETTO GBA RAILROAD MEDICARE
IL0009932606OtherBLUE CROSS BLUE SHIELD
IL$$$$$$$$$001Medicaid