Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katherine Lively

Individual provider Occupational Therapist · NPI 1528835782

Katherine Lively is an Occupational Therapist in Private Practice in Gurnee, Illinois. Qualified in 2023, 3 years ago. Practices with Illinois Bone and Joint Institute, LLC, a 606-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2023
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Practice location Address checks out

350 S Greenleaf St Ste 403
Gurnee, IL 60031-5709
Phone: (847) 596-7640
Fax: (847) 596-7641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 056-015740 (IL)

Record details

NPI number1528835782
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 7, 2023
Last updated in NPPESDecember 7, 2023
Certification dateDecember 7, 2023
Mailing address900 Rand Rd Ste 300, Des Plaines, IL 60016-2359

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Illinois Bone And Joint Institute, Llc — 606 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gurnee