Provider Demographics
NPI:1689736548
Name:KEMPERS, ELAINE FLEMING (OT)
Entity Type:Individual
Prefix:
First Name:ELAINE
Middle Name:FLEMING
Last Name:KEMPERS
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 NOTTINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLNSHIRE
Mailing Address - State:IL
Mailing Address - Zip Code:60069-3216
Mailing Address - Country:US
Mailing Address - Phone:847-903-6295
Mailing Address - Fax:
Practice Address - Street 1:50 S MILWAUKEE AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:LAKE VILLA
Practice Address - State:IL
Practice Address - Zip Code:60046-9471
Practice Address - Country:US
Practice Address - Phone:847-265-3491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
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
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL225X00000XOtherTAXONOMY