Individual
CANDI L MCGREGOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1082 SIBLEY BLVD, CALUMET CITY, IL 60409-2413
(708) 203-0343
Mailing address
1291 W LAKE ST APT 204, ADDISON, IL 60101-1186
(715) 851-0888
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.007093
IL
Other
Enumeration date
01/06/2019
Last updated
01/06/2019
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