Individual provider · NPI-1

Kellie L. Baldwin

Occupational Therapy Assistant · Chicago, IL

NPI number1881020311
StatusActive
Last updated in NPPESSep 16, 2013

Details

NPI
1881020311
Entity type
Individual (NPI-1)
Name
Kellie L. Baldwin
Sex
Female
Sole proprietor
No
Enumeration date
Sep 16, 2013
Last updated
Sep 16, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant057-003673ILYes

Practice location

5820 W Irving Park Rd
Chicago, IL 60634-2616

Phone 773-685-8482

Mailing address

2765 N Kenmore Ave Apt 2f
Chicago, IL 60614-1353

Phone 270-836-9059

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