Individual
KELLY TILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3105 N WILKE RD, SUITE H, ARLINGTON HEIGHTS, IL 60004-1495
(847) 255-8690
(847) 255-2260
Mailing address
259 DARTMOOR DR, CRYSTAL LAKE, IL 60014-8607
(815) 479-8915
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056006167
IL
Other
Enumeration date
09/20/2006
Last updated
08/13/2024
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