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NPI Code Detail

MEDICARE: MRS. LAUREN MARIE KAPOLNEK OTR/L

MEDICARE:  MRS. LAUREN MARIE KAPOLNEK  OTR/L
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
1225X00000XOccupational Therapist088626IA
2225X00000XOccupational Therapist056.012168IL

General Provider Information

NPI Number : 1629550231
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAUREN MARIE KAPOLNEK OTR/L
Provider Business Mailing Address
First Line : 830 S ADDISON AVE
Second Line :
City : VILLA PARK
State : IL
Zip : 60181-2877
Country : US
Telephone Number : 630-620-4433
Fax Number :
Provider Business Practice Location Address
First Line : 534 W 5TH AVE
Second Line :
City : NAPERVILLE
State : IL
Zip : 60563-2901
Country : US
Telephone Number : 630-300-0640
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2018
Last Update Date : 02/18/2025

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Directions to “ MRS. LAUREN MARIE KAPOLNEK OTR/L” Practice Location

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