Provider Demographics
NPI:1518979335
Name:HONIG, NANCY C (OTR/L, CHT)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:C
Last Name:HONIG
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:790 REMINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4909
Mailing Address - Country:US
Mailing Address - Phone:630-296-2223
Mailing Address - Fax:630-759-9510
Practice Address - Street 1:5605 100TH ST SW
Practice Address - Street 2:SUITE B
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-2710
Practice Address - Country:US
Practice Address - Phone:253-284-9800
Practice Address - Fax:253-284-9801
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00002873225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0652HOOtherREGENCE BLUE SHIELD
WA8936361OtherCRIME VICTIMS
WA8330524Medicaid
WA670001774OtherRAILROAD MEDICARE
WA156358OtherDEPT OF LABOR & INDUSTRIE
WAA008OtherTRICARE
WA0291065OtherDEPT. OF LABOR AND INDUSTRIES
WAAB26333Medicare ID - Type Unspecified