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Individual

MR. GRANT RYAN KOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, MSPT, ATC, CSCS

Contact information

Practice address
6000 W. TOUHY, SUITE 202, CHICAGO, IL 60646
(773) 774-4291
(773) 774-4527
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-6250
(630) 575-7450

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
096-001522
IL
225100000X
Physical Therapist
Primary
070012664
IL

Other

Enumeration date
03/14/2006
Last updated
02/24/2017
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