ANDREW CLEVENGER

CHICAGO, IL
NPI1033971411
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.028039)
Enumeration Date2024-01-30
Last Update Date2024-01-30
Business Address
ANDREW CLEVENGER
2121 W ROSCOE ST
CHICAGO, IL 60618-9244
Phone number: 312-586-1185
Mailing Address
ANDREW CLEVENGER
2121 W ROSCOE ST
CHICAGO, IL 60618-9244
Phone number: 312-586-1185