Individual
KYLE FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 E ERIE ST, CHICAGO, IL 60611-3167
(630) 864-8470
Mailing address
355 E ERIE ST, CHICAGO, IL 60611-3167
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012589
IL
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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