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General NPI Number Information
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NPI Number | 1598612038
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Entity Type | Individual
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Provider Name | ALISANDRA MILITELLO
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Gender | Female
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Dates
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Enumeration Date | 03/13/2026
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 807 W JEFFERSON ST UNIT V
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City | SHOREWOOD
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State | IL
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Zip | 60404-7301
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Country | US
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Telephone | 815-714-2977
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Fax | 815-714-2139
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Provider Business Mailing Address
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Address Line | 0S610 OLD YORK RD APT 2C
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City | ELMHURST
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State | IL
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Zip | 60126-5280
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Country | US
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Telephone | 815-450-1848
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Fax | 815-714-2139
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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 | 056016202
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License Number State | IL
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