Provider Demographics
NPI:1689720377
Name:SCHRANZ, CAREN MARIE (DROT, MS OTRL)
Entity Type:Individual
Prefix:
First Name:CAREN
Middle Name:MARIE
Last Name:SCHRANZ
Suffix:
Gender:F
Credentials:DROT, MS OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 5TH ST
Mailing Address - Street 2:
Mailing Address - City:CRETE
Mailing Address - State:IL
Mailing Address - Zip Code:60417-2110
Mailing Address - Country:US
Mailing Address - Phone:708-829-0059
Mailing Address - Fax:708-367-9905
Practice Address - Street 1:504 5TH ST
Practice Address - Street 2:
Practice Address - City:CRETE
Practice Address - State:IL
Practice Address - Zip Code:60417-2110
Practice Address - Country:US
Practice Address - Phone:708-829-0059
Practice Address - Fax:708-367-9905
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.002561225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1689720377OtherNPI