JOHN MICHAEL AGSAO FERNANDEZ

CHICAGO, IL
NPI1922767904
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160008094)
Enumeration Date2021-12-17
Last Update Date2021-12-17
Business Address
JOHN MICHAEL AGSAO FERNANDEZ PTA
2655 W PETERSON AVE # 60659
CHICAGO, IL 60659-4017
Phone number: 224-715-6741
Mailing Address
JOHN MICHAEL AGSAO FERNANDEZ PTA
2655 W PETERSON AVE
CHICAGO, IL 60659-4017
Phone number:
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