Individual
BRIAN A WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
8735 S MERRION LN, HOMETOWN, IL 60456-1133
(708) 425-1150
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056006724
IL
Other
Enumeration date
06/10/2013
Last updated
02/19/2016
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