JOHN JAY CULLEN PENALOSA

CHICAGO, IL
NPI1508118852
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070014382)
Enumeration Date2012-10-11
Last Update Date2012-10-11
Business Address
-- JOHN JAY CULLEN PENALOSA P.T.
1740 W TAYLOR ST RM C-100
CHICAGO, IL 60612-7232
Phone number: 312-996-3700
Mailing Address
-- JOHN JAY CULLEN PENALOSA P.T.
1740 W TAYLOR ST RM C-100
CHICAGO, IL 60612-7232
Phone number: 312-996-3700
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