Provider Demographics
NPI:1710216973
Name:ENGLUND, KARA BETH (OTR/L)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:BETH
Last Name:ENGLUND
Suffix:
Gender:F
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 1:328 N SHADDLE AVE
Mailing Address - Street 2:
Mailing Address - City:MUNDELEIN
Mailing Address - State:IL
Mailing Address - Zip Code:60060-2411
Mailing Address - Country:US
Mailing Address - Phone:847-566-9860
Mailing Address - Fax:847-566-9861
Practice Address - Street 1:495 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:IL
Practice Address - Zip Code:60093-3044
Practice Address - Country:US
Practice Address - Phone:847-784-9115
Practice Address - Fax:847-784-9330
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-17
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056-008889174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist