JOMON M EDAKARA

DEERFIELD, IL
NPI1609094630
Former NameJOMON MATHEW
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05008369a)
Enumeration Date2007-04-23
Last Update Date2024-08-13
Business Address
Mr. JOMON M EDAKARA
1551 LAKE COOK RD
DEERFIELD, IL 60015-5651
Phone number: 847-374-0500
Mailing Address
Mr. JOMON M EDAKARA
1313 HALLBERG LN
PARKRIDGE, IL 60068
Phone number:
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