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Contact Information

DAVID FERNQUIST, MOT, OTR/L
2150 WEST GOLF ROAD
HOFFMAN ESTATES, IL60169
 Phone: 847-755-0735
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for DAVID FERNQUIST · (Male)

NPI Number 1689496655
Status Active
Credentials MOT, OTR/L
Entity Individual
Enumeration date 10/30/2024
Last updated 10/30/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 056.016250
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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