Mrs Jill Marie Fonk, MS, OTR/L - Occupational Therapist in Kenosha, WI

Mrs Jill Marie Fonk, MS, OTR/L is a Occupational Therapist based in Kenosha, Wisconsin. Mrs Jill Marie Fonk is licensed to practice in Wisconsin (license number 3850-026) and her current practice location is 3100 Washington Rd, Kenosha, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (262) 658-4074.

NPI number for Mrs Jill Marie Fonk is 1083889976 and her current mailing address is 3100 Washington Rd, Kenosha, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083889976.

Contact Information

Mrs Jill Marie Fonk, MS, OTR/L
3100 Washington Rd,
Kenosha, WI 53144-1604
(262) 658-4074
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Jill Marie Fonk
GenderFemale
SpecialityOccupational Therapist
Location3100 Washington Rd, Kenosha, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083889976
  • Provider Enumeration Date: 04/23/2008
  • Last Update Date: 04/23/2008

Medical Identifiers

Medical identifiers for Mrs Jill Marie Fonk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083889976NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 3850-026 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jill Marie Fonk is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jill Marie Fonk, MS, OTR/L
3100 Washington Rd,
Kenosha, WI 53144-1604

Ph: (262) 658-4074
Mrs Jill Marie Fonk, MS, OTR/L
3100 Washington Rd,
Kenosha, WI 53144-1604

Ph: (262) 658-4074

Reviews and Comments


Occupational Therapist in Kenosha, WI

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Phone: 262-652-1111    Fax: 262-652-1124
Rachel Lauren Cole, OT
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