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Bryan Moles
NPI 1285187591 · on the registry since 2016 · sole proprietor
Practice
- Address
- 6157 N Kenmore
Apt #4s
Chicago, IL 60660 - Phone
- (312) 404-8401
Registry record
- Primary taxonomy
- Developmental Therapist
222Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-08-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois