Mrs. Susan Rose Koenig
Occupational Therapist
1025 Old Mchenry Rd
Lake Zurich
, Illinois 60047-8428
Mrs. Susan Rose Koenig
Occupational Therapist
1025 Old Mchenry Rd
Lake Zurich
, Illinois 60047-8428
(847) 487-0496
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About
Features
Specialties
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Mrs. Susan Rose Koenig
- 2517 Bluewater Dr
- Wauconda, IL
- Zip : 60084-5024
- Phone : (847) 487-0496
Second Address
- Mrs. Susan Rose Koenig
- 1025 Old Mchenry Rd
- Lake Zurich, IL
- Zip : 60047-8428
- Phone : (847) 842-4057
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | IL |
National Provider Identifier
| NPI | 1003020736 |
|---|---|
| Provider Name | Mrs. Susan Rose Koenig |
| First Address | Wauconda, IL 60084-5024 |
| Second Address | Lake Zurich, IL 60047-8428 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.