Individual
ANDREW CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2121 W ROSCOE ST, CHICAGO, IL 60618-9244
(312) 586-1185
Mailing address
2121 W ROSCOE ST, CHICAGO, IL 60618-9244
(312) 586-1185
(312) 586-1083
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.028039
IL
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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