GREGORY J STORTZUM

CHAMPAIGN, IL
NPI1336266915
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070012091)
Enumeration Date2007-03-26
Last Update Date2007-07-08
Business Address
Mr. GREGORY J STORTZUM PT, MPT
2403 VILLAGE GREEN PL
CHAMPAIGN, IL 61822-7676
Phone number: 217-359-4549
Mailing Address
Mr. GREGORY J STORTZUM PT, MPT
611 W PARK ST
URBANA, IL 61801-2500
Phone number: 217-326-2911