Provider Demographics
NPI:1306918164
Name:SZMERGALSKI, ANNE REDMOND (OTR/L)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:REDMOND
Last Name:SZMERGALSKI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:MARIE
Other - Last Name:REDMOND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:225 E CHICAGO AVE
Mailing Address - Street 2:BOX 142
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2991
Mailing Address - Country:US
Mailing Address - Phone:312-227-6240
Mailing Address - Fax:312-227-6240
Practice Address - Street 1:225 E CHICAGO AVE
Practice Address - Street 2:BOX 142
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2991
Practice Address - Country:US
Practice Address - Phone:312-227-6240
Practice Address - Fax:312-227-6240
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
IL056.005295225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist