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General NPI Number Information
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NPI Number | 1568322261
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Entity Type | Individual
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Provider Name | KELSEY ULRICH
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Gender | Female
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 1585 N MILWAUKEE AVE STE 101
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-1359
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Country | US
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Telephone | 847-918-7947
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 SPRUCEWOOD LN
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City | LINDENHURST
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State | IL
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Zip | 60046-9202
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 056.016932
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License Number State | IL
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