Individual
JAKE SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
280 BENT GRASS CIR UNIT C, DEKALB, IL 60115-8767
(815) 953-6109
Mailing address
280 BENT GRASS CIR UNIT C, DEKALB, IL 60115-8767
(815) 953-6109
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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