JON MICHAEL BERENA

DES PLAINES, IL
NPI1174103931
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160009038)
Enumeration Date2021-04-14
Last Update Date2021-04-14
Business Address
JON MICHAEL BERENA
2090 FOX LN
DES PLAINES, IL 60018-4029
Phone number: 773-704-3620
Mailing Address
JON MICHAEL BERENA
2090 FOX LN
DES PLAINES, IL 60018-4029
Phone number: 773-704-3620