Provider Demographics
NPI:1740312727
Name:SCHULTZ MROZ, JANET MARIE (OTR, NCMT)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:MARIE
Last Name:SCHULTZ MROZ
Suffix:
Gender:F
Credentials:OTR, NCMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 N WILLOW RD
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-2453
Mailing Address - Country:US
Mailing Address - Phone:630-834-4121
Mailing Address - Fax:
Practice Address - Street 1:281 N WILLOW RD
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-2453
Practice Address - Country:US
Practice Address - Phone:630-834-4121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225700000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Not Answered225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics