JUSTIN ANDREW SAMANIEGO ARCILLA

LAKE FOREST, IL
NPI1063262236
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.028108)
Enumeration Date2024-03-22
Last Update Date2024-03-22
Business Address
JUSTIN ANDREW SAMANIEGO ARCILLA PT, DPT
1200 N WESTMORELAND RD
LAKE FOREST, IL 60045-1601
Phone number: 847-535-7060
Mailing Address
JUSTIN ANDREW SAMANIEGO ARCILLA PT, DPT
1200 N WESTMORELAND RD
LAKE FOREST, IL 60045-1601
Phone number: 847-535-7060