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

Kelly Supataraporn

Individual provider Occupational Therapist · NPI 1083982078

Kelly Supataraporn is an Occupational Therapist in Bolingbrook, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
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Practice location Address checks out

388 Twin Creeks Dr
Bolingbrook, IL 60440-1070
Phone: (630) 453-0134
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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 056.009273 (IL)

Record details

NPI number1083982078
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 6, 2011
Last updated in NPPESDecember 6, 2011
Mailing address388 Twin Creeks Dr, Bolingbrook, IL 60440-1070

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