JERICK ISLAN

SCHAUMBURG, IL
NPI1811396112
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.006854)
Enumeration Date2014-08-22
Last Update Date2014-08-22
Business Address
-- JERICK ISLAN PTA
1089 N SALEM DR
SCHAUMBURG, IL 60194-1331
Phone number: 847-882-1438
Mailing Address
-- JERICK ISLAN PTA
427 N WALNUT LN
SCHAUMBURG, IL 60194-3839
Phone number: 224-595-5443
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