Healthcare Provider Details

I. General information

NPI: 1730012824
Provider Name (Legal Business Name): KALEY JUNE SHEEHAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1804 CENTRE POINT CIR
NAPERVILLE IL
60563-1440
US

IV. Provider business mailing address

7841 BROOKSIDE GLEN DR
TINLEY PARK IL
60487-5165
US

V. Phone/Fax

Practice location:
  • Phone: 630-955-1940
  • Fax:
Mailing address:
  • Phone: 815-557-5726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number551126
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: