FREDERICK DUANE SAMPANG

CHICAGO, IL
NPI1073035382
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070023844)
Enumeration Date2017-07-10
Last Update Date2020-10-01
Business Address
FREDERICK DUANE SAMPANG PT, DPT
125 S JEFFERSON ST
CHICAGO, IL 60661-3663
Phone number: 847-773-0298
Mailing Address
FREDERICK DUANE SAMPANG PT, DPT
5536 N ARTESIAN AVE APT 2
CHICAGO, IL 60625-3992
Phone number: 847-293-8171