JHAN CARLO FONTANILLA

LAKE FOREST, IL
NPI1104604867
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.027733)
Enumeration Date2023-09-14
Last Update Date2023-09-14
Business Address
JHAN CARLO FONTANILLA DPT
900 N WESTMORELAND RD
LAKE FOREST, IL 60045-1674
Phone number: 847-535-6418
Mailing Address
JHAN CARLO FONTANILLA DPT
1524 OVERLOOK DR
GLENVIEW, IL 60025-5162
Phone number: 312-709-1941
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