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Sports Medicine (Physical Medicine & Rehabilitation) Physician
NPI: 1104264506IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physical Medicine & Rehabilitation Physician
Physical Medicine & Rehabilitation
Code: 208100000X
125063352(IL)
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary
Physical Medicine & Rehabilitation — Sports Medicine
Code: 2081S0010X
036.147721(IL)
Education
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Class of 2013
Contact & Hours
- Address
- 1200 S YORK ST
ELMHURST, IL 60126 - Phone
- (331) 221-9095
Quick Facts
- NPI
- 1104264506
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 13
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