JONATHAN E GALLAS

ROCKFORD, IL
NPI1396770079
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070013251)
Enumeration Date2006-07-11
Last Update Date2023-09-15
Business Address
JONATHAN E GALLAS
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114-4937
Phone number: 815-398-9491
Mailing Address
JONATHAN E GALLAS
PO BOX 735263
CHICAGO, IL 60673-5263
Phone number: