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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KYLE TANZILLO, MOT, OTR/L

Active

KYLE TANZILLO, MOT, OTR/L is a Occupational Therapist healthcare provider located in NORTHLAKE, Illinois. NPI 1528421187 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · NORTHLAKE, IL

Registration Details

NPI Number
1528421187
Provider Type
Individual
Gender
Male
NPI Issued
Mar 31, 2016 (10.369823003327 yrs)
Last Updated
Mar 31, 2016
License
056011401 (IL)

Practice Information

Address
401 W LAKE ST
NORTHLAKE, IL, 601642435
Browse IL providers · Browse ZIP 60164
Phone
7083659251
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in NORTHLAKE, IL

Name Credential NPI
ALLISON PORSCHAKIN 1689050734
JULIE BROWN OTR/L 1730617234
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.