Individual
BRIAN KILBANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4710 W 95TH ST STE B6, OAK LAWN, IL 60453-2546
(708) 422-2960
Mailing address
16619 STUART AVE, ORLAND PARK, IL 60467-5384
(708) 403-4202
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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