CHASE CARNEAL WHITTAKER

CHICAGO, IL
NPI1134832710
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160009706)
Enumeration Date2022-12-28
Last Update Date2022-12-28
Business Address
CHASE CARNEAL WHITTAKER
3319 N ELSTON AVE STE 100
CHICAGO, IL 60618-5811
Phone number: 312-733-0883
Mailing Address
CHASE CARNEAL WHITTAKER
3319 N ELSTON AVE STE 100
CHICAGO, IL 60618-5811
Phone number: