ALFONSO ENRIQUEZ

DES PLAINES, IL
NPI1518745629
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160007828)
Enumeration Date2023-09-19
Last Update Date2023-09-19
Business Address
Mr. ALFONSO ENRIQUEZ PTA
183 N EAST RIVER RD UNIT D1
DES PLAINES, IL 60016-1286
Phone number: 623-755-3590
Mailing Address
Mr. ALFONSO ENRIQUEZ PTA
183 N EAST RIVER RD UNIT D1
DES PLAINES, IL 60016-1286
Phone number: 623-755-3590
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