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MARY NISSEN OTR/L
NPI 1548599707
Specialist in Mundelein, IL

Active since December 17, 2009
328 N SHADDLE AVE, MUNDELEIN, IL 60060(847) 566-9860(847) 566-9861 Get Directions Write a Review

NPPES record last updated: December 17, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Nissen Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY NISSEN OTR/L (NPI 1548599707) is an individual specialist in Mundelein, Illinois, licensed in Illinois (056-007166) and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1548599707
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMARY NISSENCredential: OTR/L
Location Address328 N SHADDLE AVEMundelein, IL 60060-2411
Mailing Address1932 W Crystal St, Unit 2Chicago, IL 60622-3132 · (847) 784-9115 · Fax (847) 784-9330
Phone(847) 566-9860
Fax(847) 566-9861
Sole ProprietorYes
Enumeration DateDecember 17, 2009
✔ NPI 1548599707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 056-007166
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
328 N SHADDLE AVE, Mundelein, IL 60060
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Nissen's NPI number?

The NPI number for Mary Nissen is 1548599707. It was assigned to this individual provider in the NPPES registry on December 17, 2009.

Where is Mary Nissen located?

Mary Nissen practices at 328 N Shaddle Ave, Mundelein, IL 60060. The listed phone number is (847) 566-9860.

What is Mary Nissen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mary Nissen was last updated on December 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.