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General NPI Number Information
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NPI Number | 1881523181
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Entity Type | Individual
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Provider Name | JENNA GRACE FRIZZELL OTD
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Gender | Female
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Dates
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Enumeration Date | 05/14/2026
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 520 S STATE ST APT 1502
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City | CHICAGO
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State | IL
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Zip | 60605-1663
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Country | US
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Telephone | 312-569-9037
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Fax |
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Provider Business Mailing Address
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Address Line | 703 S STOUGH ST
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City | HINSDALE
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State | IL
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Zip | 60521-4350
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Country | US
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Telephone | 630-442-8265
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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 |
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License Number State |
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