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Individual

BRIAN CREERON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTD, OTR/L

Contact information

Practice address
1294 S ROUTE 12, FOX LAKE, IL 60020-1950
(847) 973-9440
(847) 973-9442
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6200

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
12/02/2020
Last updated
03/12/2021
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