JESUS ROMAN

OAK FOREST, IL
NPI1366899346
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.006812)
Enumeration Date2016-05-19
Last Update Date2016-05-19
Business Address
-- JESUS ROMAN PTA
6006 159TH ST BLDG A
OAK FOREST, IL 60452-2904
Phone number: 708-535-9242
Mailing Address
-- JESUS ROMAN PTA
6006 159TH ST BLDG A
OAK FOREST, IL 60452-2904
Phone number: 708-535-9242
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