Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Sep 5, 2018
License(s)
070023701 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1975 LIN LOR LN | Elgin, IL 60123-4902 | 847-468-6098 |
| MAILING | 790 REMINGTON BLVD | Bolingbrook, IL 60440-4909 | 866-370-8206 |
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