Individual
KAITLYN M NELLESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2000
Mailing address
613 S OWEN ST, MOUNT PROSPECT, IL 60056-3944
(847) 707-5241
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056012410
IL
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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