MEDICARE: UMA S KELKAR MOT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	056006859	IL

General Provider Information

NPI Number	:	1326507575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	UMA S KELKAR MOT

Provider Business Mailing Address
First Line	:	600 OAKMONT LN STE 600C
Second Line	:
City	:	WESTMONT
State	:	IL
Zip	:	60559-5548
Country	:	US
Telephone Number	:	630-575-6200
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 N MICHIGAN AVE LBBY 103
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60602-4817
Country	:	US
Telephone Number	:	312-236-0660
Fax Number	:	312-236-1219

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2019
Last Update Date	:	03/18/2019

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Directions to “ UMA S KELKAR MOT” Practice Location

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