Provider Demographics
NPI:1215079553
Name:KACHELMUSS, DRU (MOT)
Entity type:Individual
Prefix:
First Name:DRU
Middle Name:
Last Name:KACHELMUSS
Suffix:
Gender:F
Credentials:MOT
Other - Prefix:
Other - First Name:DRU
Other - Middle Name:
Other - Last Name:KRISCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOT
Mailing Address - Street 1:600 OAKMONT LN STE 600C
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-5548
Mailing Address - Country:US
Mailing Address - Phone:630-575-6200
Mailing Address - Fax:
Practice Address - Street 1:1611 W HARRISON ST
Practice Address - Street 2:SUITE 107
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-4861
Practice Address - Country:US
Practice Address - Phone:312-432-2513
Practice Address - Fax:312-563-3640
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056007935225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist