Individual
MR. KEVIN PATRICK BRESNAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
16651 HARLEM AVE, TINLEY PARK, IL 60477-2581
(708) 444-2467
(708) 444-2758
Mailing address
2915 W 97TH ST, EVERGREEN PARK, IL 60805-2611
(708) 424-6255
(708) 422-3001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096001153
IL
Other
Enumeration date
09/29/2006
Last updated
05/30/2008
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