Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michelle Renee Ponselle-Mays, MS, OTR/L

Individual provider Occupational Therapist · NPI 1730348020

Michelle Renee Ponselle-Mays, MS, OTR/L is an Occupational Therapist in Fox Lake, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
What do these letters mean?
MS — Master of Science
A graduate science degree.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

498 S Route 12 Ste C
Fox Lake, IL 60020-1908
Phone: (847) 587-3301
Fax: (847) 587-3346
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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 056008351 (IL)

Record details

NPI number1730348020
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , OTR/L
Sole proprietorNo
NPI enumeratedJune 3, 2008
Last updated in NPPESJune 16, 2008

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