LEONARD WANTA

BURR RIDGE, IL
NPI1396196309
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070003801)
Enumeration Date2016-06-30
Last Update Date2016-06-30
Business Address
Dr. LEONARD WANTA PT
126 CIRCLE RIDGE DR
BURR RIDGE, IL 60527-8379
Phone number: 630-789-8962
Mailing Address
Dr. LEONARD WANTA PT
126 CIRCLE RIDGE DR
BURR RIDGE, IL 60527-8379
Phone number: 630-789-8962
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