JUSTIN NELLAMATTOM

CHICAGO, IL
NPI1205551421
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070026812)
Enumeration Date2022-10-10
Last Update Date2022-10-10
Business Address
JUSTIN NELLAMATTOM
5315 N SHERIDAN RD
CHICAGO, IL 60640-2531
Phone number: 773-541-2020
Mailing Address
JUSTIN NELLAMATTOM
7741 CHURCH ST
MORTON GROVE, IL 60053-1623
Phone number:
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