Individual
DR. KEVIN BREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
25206 W REED ST, CHANNAHON, IL 60410
(815) 467-1111
(815) 467-5999
Mailing address
1800 N HALSTED ST, #3C, CHICAGO, IL 60614-5058
(312) 213-0689
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-026545
IL
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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