Individual
MATHEW THENGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, OTR/L
Contact information
Practice address
6840 W TOUHY AVE, NILES, IL 60714-4520
(847) 647-6400
Mailing address
1687 WHITEHALL CT, WHEELING, IL 60090-6905
(847) 647-6400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.006600
IL
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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