JACK CHODZEN

CHICAGO, IL
NPI1376553628
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-005658)
Enumeration Date2006-08-09
Last Update Date2008-01-02
Business Address
Mr. JACK CHODZEN pt
2651 N LARAMIE AVE
CHICAGO, IL 60639-1613
Phone number: 773-745-0391
Mailing Address
Mr. JACK CHODZEN pt
2651 N LARAMIE AVE
CHICAGO, IL 60639-1613
Phone number: 773-745-0391