Individual
KELLY BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
4501 HILL RD, HIGHLAND, IL 62249-3519
(618) 830-6562
(618) 503-0263
Mailing address
2807 STARLING LN, ROLLING MEADOWS, IL 60008-2638
(847) 915-9850
(618) 503-0263
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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