Amundson, Kirsten
Amundson, Kirsten is an individual health care provider with primary practice located at 998 Progress Dr , Grayslake IL 60030-1671. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Amundson, Kirsten can be contacted via phone (847) 548-3458.Contact Information
Primary practice address
998 Progress Dr
Grayslake IL 60030-1671
Phone: (847) 548-3458
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 056.013289 | Illinois |
Profile Details
| NPI number | 1659912822 |
|---|---|
| LBN Legal business name | Amundson, Kirsten |
| Credentials | MOT, OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2019 |
| Last updated | Sep 30th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659912822 | NPPES |
| Other | 056.013289 | STATE OF LICENSE |
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