| Kyle Tanzillo, MOT, OTR/L | |
|
401 W Lake St, Northlake, IL 60164-2435 | |
| (708) 365-9251 | |
| Not Available |
| Full Name | Kyle Tanzillo |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 401 W Lake St, Northlake, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528421187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 056011401 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Tanzillo, MOT, OTR/L 211 E Ohio St, Apt. 1411, Chicago, IL 60611-3262 Ph: () - | Kyle Tanzillo, MOT, OTR/L 401 W Lake St, Northlake, IL 60164-2435 Ph: (708) 365-9251 |
Allison Porschakin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 132 Edwards Ave, Northlake, IL 60164 Phone: 708-562-6153 | |
Julie Brown, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 420 N Wolf Rd, Northlake, IL 60164 Phone: 877-737-4636 |