Healthcare Provider Details

I. General information

NPI: 1043472079
Provider Name (Legal Business Name): KELLI SYKES OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2008
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 E WASHINGTON ST
BENSENVILLE IL
60106-2674
US

IV. Provider business mailing address

2667 FREELAND CIR
NAPERVILLE IL
60564-5879
US

V. Phone/Fax

Practice location:
  • Phone: 630-521-8252
  • Fax:
Mailing address:
  • Phone: 630-699-7029
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: