Melissa Jayne Banevich-Glaros, OTR/L Valid NPI

Individual provider · Skilled Nursing Facility · Mokena, IL

NPI

1912266149

Type

Individual (Type 1)

Primary specialty

Skilled Nursing Facility

Specialty group

Nursing & Custodial Care Facilities

Taxonomy code

314000000X

License number

05605261 (IL)

Sex

Female

Sole proprietor

Yes

Enumerated

2012-05-08

Last updated

2012-05-08