Provider Demographics
NPI:1649694191
Name:SZELIGA, KATHERINE ELEANOR (OTR/L)
Entity type:Individual
Prefix:MISS
First Name:KATHERINE
Middle Name:ELEANOR
Last Name:SZELIGA
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 1:13626 S TARA DR
Mailing Address - Street 2:
Mailing Address - City:HOMER GLEN
Mailing Address - State:IL
Mailing Address - Zip Code:60491-9172
Mailing Address - Country:US
Mailing Address - Phone:630-709-5759
Mailing Address - Fax:
Practice Address - Street 1:11030 S LONGWOOD DR
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60643-4012
Practice Address - Country:US
Practice Address - Phone:630-709-5759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-04
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056010436225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist