Individual
KEVIN WILLIAM AMARANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
925 MEACHAM RD, ELK GROVE VILLAGE, IL 60007-3672
(847) 923-6858
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056011900
IL
Other
Enumeration date
01/10/2018
Last updated
04/11/2024
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