Provider Demographics
NPI:1619684727
Name:BERTONE, DANIELLE JANE (MOT, OTR/L)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:JANE
Last Name:BERTONE
Suffix:
Gender:
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:JANE
Other - Last Name:PAUTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:755 ELA RD STE A
Mailing Address - Street 2:
Mailing Address - City:LAKE ZURICH
Mailing Address - State:IL
Mailing Address - Zip Code:60047-2412
Mailing Address - Country:US
Mailing Address - Phone:847-320-0200
Mailing Address - Fax:
Practice Address - Street 1:755 ELA RD STE A
Practice Address - Street 2:
Practice Address - City:LAKE ZURICH
Practice Address - State:IL
Practice Address - Zip Code:60047-2412
Practice Address - Country:US
Practice Address - Phone:847-320-0200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-31
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.015185225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist