MARK ELTON LAO ONG

BELVIDERE, IL
NPI1871144303
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070021359)
Enumeration Date2019-09-25
Last Update Date2019-09-25
Business Address
MARK ELTON LAO ONG
2250 PEARL ST
BELVIDERE, IL 61008-6022
Phone number: 815-544-0358
Mailing Address
MARK ELTON LAO ONG
3761 HARWOOD LN
ROCKFORD, IL 61114-5299
Phone number: 858-275-4132
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