Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Nissen, OTR/L

Individual provider Specialist · NPI 1548599707

Mary Nissen, OTR/L is a Specialist in Mundelein, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2009
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

328 N Shaddle Ave
Mundelein, IL 60060-2411
Phone: (847) 566-9860
Fax: (847) 566-9861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 056-007166 (IL)

Record details

NPI number1548599707
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedDecember 17, 2009
Last updated in NPPESDecember 17, 2009

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