DAKOTA JOHN GREENWALT

CHICAGO, IL
NPI1073226510
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
Enumeration Date2022-12-29
Last Update Date2022-12-29
Business Address
DAKOTA JOHN GREENWALT DPT
2869 N LINCOLN AVE
CHICAGO, IL 60657-4201
Phone number: 773-665-9950
Mailing Address
DAKOTA JOHN GREENWALT DPT
1621 N HONORE ST APT 3R
CHICAGO, IL 60622-1303
Phone number: 952-484-3644