Provider Demographics
NPI:1922216506
Name:DASKAL, JANELLE (DT)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:
Last Name:DASKAL
Suffix:
Gender:F
Credentials:DT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 PLUM CREEK DR APT 405
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-6346
Mailing Address - Country:US
Mailing Address - Phone:847-502-1769
Mailing Address - Fax:
Practice Address - Street 1:475 PLUM CREEK DR APT 405
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:IL
Practice Address - Zip Code:60090-6346
Practice Address - Country:US
Practice Address - Phone:847-502-1769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist