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NPI Code Detail

MEDICARE: KELLY SADKOWSKI

MEDICARE: KELLY SADKOWSKI
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
1106S00000XBehavior TechnicianRBT-22-246309IL

General Provider Information

NPI Number : 1215643275
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY SADKOWSKI
Provider Business Mailing Address
First Line : 332 S MICHIGAN AVE STE 900
Second Line :
City : CHICAGO
State : IL
Zip : 60604-4393
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 332 S MICHIGAN AVE STE 900
Second Line :
City : CHICAGO
State : IL
Zip : 60604-4393
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2023
Last Update Date : 12/02/2025

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Directions to “ KELLY SADKOWSKI ” Practice Location

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