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Individual

KYLE HAMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
350 N WALL ST, KANKAKEE, IL 60901-2991
(815) 933-1671
Mailing address
350 N WALL ST, KANKAKEE, IL 60901-2901
(815) 933-1671

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
17-43161
IL
207R00000X
Internal Medicine Physician
Primary
125.082006
IL

Other

Enumeration date
01/18/2018
Last updated
06/04/2023
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