Healthcare Provider Details

I. General information

NPI: 1285859074
Provider Name (Legal Business Name): KIMBERLY DAWN DUNN OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16170 KINGSPORT RD
ORLAND PARK IL
60467-5602
US

IV. Provider business mailing address

641 COLUMBIA DR
NEW LENOX IL
60451-3821
US

V. Phone/Fax

Practice location:
  • Phone: 708-349-6544
  • Fax:
Mailing address:
  • Phone: 708-247-4440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number056009229
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: