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

Kelly M Ingram

Individual provider Developmental Therapist · NPI 1649894130

Kelly M Ingram is a Developmental Therapist in Beach Park, Illinois. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

38229 N North Ave
Beach Park, IL 60087-1662
Phone: (847) 650-2823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1649894130
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 1, 2020
Last updated in NPPESJune 1, 2020
Certification dateJune 1, 2020
Mailing address38229 N North Ave, Beach Park, IL 60087-1662

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