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General NPI Number Information
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NPI Number | 1992286694
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Entity Type | Individual
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Provider Name | MADELINE DEVLIN MOTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/22/2018
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 3048 N MILWAUKEE AVE
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City | CHICAGO
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State | IL
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Zip | 60618-6624
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Country | US
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Telephone | 312-458-9865
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Fax |
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Provider Business Mailing Address
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Address Line | 1615 W WOLFRAM ST APT 1
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City | CHICAGO
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State | IL
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Zip | 60657-4019
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Country | US
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Telephone |
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Fax | 314-609-3684
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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 | 2020018831
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License Number State | MO
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Taxonomy #2
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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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