Individual
COLLEEN MARIE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4450 N PROSPECT RD STE C5, PEORIA HEIGHTS, IL 61616-6578
(309) 363-7594
(309) 966-3621
Mailing address
1580 BURNING BUSH LN, HOFFMAN ESTATES, IL 60192-1207
(309) 363-7594
(309) 966-3621
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.016373
IL
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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