Provider Demographics
NPI:1306058623
Name:KAMENSKY, BETH (OT, CHT)
Entity type:Individual
Prefix:MRS
First Name:BETH
Middle Name:
Last Name:KAMENSKY
Suffix:
Gender:F
Credentials:OT, CHT
Other - Prefix:MISS
Other - First Name:BETH
Other - Middle Name:JERYLL
Other - Last Name:TUNICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:808 W NICHOLS RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-1326
Mailing Address - Country:US
Mailing Address - Phone:847-577-9886
Mailing Address - Fax:
Practice Address - Street 1:1301 S BARRINGTON RD
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-5202
Practice Address - Country:US
Practice Address - Phone:847-620-4574
Practice Address - Fax:847-620-4575
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist