Individual
KAITLIN MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1675 DEMPSTER ST FL 3, PARK RIDGE, IL 60068-1110
(847) 723-4532
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056011719
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056011719
ILLINOIS PROFESSIONAL LICENSE
IL
Enumeration date
01/30/2020
Last updated
12/19/2023
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