Individual
KEVIN CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD
Contact information
Practice address
1901 SILVER GLEN RD, SOUTH ELGIN, IL 60177-3351
(224) 276-2055
Mailing address
1626 MONTCLAIR DR, ELGIN, IL 60123-8832
(630) 945-4907
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.014379
—
Other
Enumeration date
08/23/2021
Last updated
09/06/2021
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