Provider Demographics
NPI:1629294210
Name:DINI, TERESA (MS,OTRL)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:DINI
Suffix:
Gender:F
Credentials:MS,OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 S WABASH AVE APT 4G
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-2255
Mailing Address - Country:US
Mailing Address - Phone:312-566-9518
Mailing Address - Fax:
Practice Address - Street 1:710 S PAULINA ST STE 735
Practice Address - Street 2:JOHNSTON R. BOWMAN CENTER
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3808
Practice Address - Country:US
Practice Address - Phone:312-942-7797
Practice Address - Fax:312-942-5094
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist