Individual
ATHEN CLIFTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3919 W FOSTER AVE, CHICAGO, IL 60625-6056
(773) 588-9500
Mailing address
3703 W LAKE AVE, SUITE 200, GLENVIEW, IL 60026-5823
(847) 904-5056
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.006932
IL
Other
Enumeration date
07/19/2015
Last updated
07/19/2015
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