Individual
MR. BRIAN PATRICK BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L, CHT
Contact information
Practice address
10330 S ROBERTS RD, PALOS HILLS, IL 60465-1971
(708) 237-7200
(708) 237-7296
Mailing address
10330 S ROBERTS RD, PALOS HILLS, IL 60465-1971
(708) 237-7200
(708) 237-7296
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056-003537
IL
225XH1200X
Hand Occupational Therapist
Primary
056-003537
IL
Other
Enumeration date
10/27/2011
Last updated
05/07/2013
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