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Contact Information

SUSAN J BANJAVCIC, COTA L
650 ACADEMIC DRIVE
SCHOOL DISTRICT #158
ALGONQUIN, IL60102
 Phone: 847-659-6158
 Fax: 847-659-6122
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for SUSAN J BANJAVCIC · (Female)

NPI Number 1922290774
Status Active
Credentials COTA L
Entity Individual
Enumeration date 08/15/2007
Last updated 08/15/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers Not Available
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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