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NPI Code Detail

MEDICARE: KAITLYN SLAGER

MEDICARE: KAITLYN SLAGER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational Therapist056.027036IL

General Provider Information

NPI Number : 1003743683
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN SLAGER
Provider Business Mailing Address
First Line : 13801 W ELIZABETH LN
Second Line :
City : MOKENA
State : IL
Zip : 60448-8533
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 19100 CRESCENT DR STE 101
Second Line :
City : MOKENA
State : IL
Zip : 60448-7526
Country : US
Telephone Number : 708-478-5400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2026
Last Update Date : 05/06/2026

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Directions to “ KAITLYN SLAGER ” Practice Location

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