LELAND T. GOUGH

MCHENRY, IL
NPI1184013666
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070021201)
Enumeration Date2015-01-21
Last Update Date2023-10-10
Business Address
LELAND T. GOUGH DPT
4119 W SHAMROCK LN
MCHENRY, IL 60050-8268
Phone number: 815-398-9491
Mailing Address
LELAND T. GOUGH DPT
PO BOX 735263
CHICAGO, IL 60673-5263
Phone number:
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