TRAVIS J SPAGNOLA

TINLEY PARK, IL
NPI1992978175
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070016338)
Enumeration Date2008-04-08
Last Update Date2008-05-02
Business Address
-- TRAVIS J SPAGNOLA
17236 HARLEM AVE
TINLEY PARK, IL 60477-6619
Phone number: 708-633-8379
Mailing Address
-- TRAVIS J SPAGNOLA
1816 170TH ST
HAZEL CREST, IL 60429-1451
Phone number: 708-335-1415