Individual
MRS. JIMMI DEVANG HINGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1203 GOLDFINCH LN, ANTIOCH, IL 60002-6410
(847) 962-1531
Mailing address
1203 GOLDFINCH LN, ANTIOCH, IL 60002-6410
(847) 962-1531
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160005431
IL
Other
Enumeration date
08/22/2012
Last updated
08/22/2012
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