Healthcare Provider Details

I. General information

NPI: 1265386932
Provider Name (Legal Business Name): KATE WHITE OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2026
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1642 E BARBERRY LN
MT PROSPECT IL
60056-1512
US

IV. Provider business mailing address

14050 YORKTOWN DR
ORLAND PARK IL
60462-2125
US

V. Phone/Fax

Practice location:
  • Phone: 312-650-5522
  • Fax:
Mailing address:
  • Phone: 708-860-2725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number056.026974
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: