Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 056.000662 | IL |
NPI | 1013551142 |
---|---|
Provider Name | Brian P Karabin |
First Address | Palatine, IL 60074-3720 |
Second Address | Elk Grove Vlg, IL 60007-3392 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2019 |
Last Update Date | 01/11/2019 |