RICHARD MEDINA

NORMAL, IL
NPI1982218384
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070025367)
Enumeration Date2020-09-02
Last Update Date2020-09-02
Business Address
RICHARD MEDINA PT
1715 BRADFORD LN STE 140
NORMAL, IL 61761-4177
Phone number: 309-888-4828
Mailing Address
RICHARD MEDINA PT
600 OAKMONT LN STE 600C
WESTMONT, IL 60559-5548
Phone number: 630-575-1980