Healthcare Provider Details

I. General information

NPI: 1053227090
Provider Name (Legal Business Name): KRISTINE LEANA VILLACORTE ALUNAN MSOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12446 S VAN DYKE RD
PLAINFIELD IL
60585-2700
US

IV. Provider business mailing address

462 N ANNA LN
ROMEOVILLE IL
60446-5283
US

V. Phone/Fax

Practice location:
  • Phone: 877-889-5188
  • Fax:
Mailing address:
  • Phone: 815-779-7211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number056027200
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: