Individual
ALEXANDER T GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1352 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3795
(847) 549-1460
(847) 549-1490
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
05/21/2019
Last updated
08/03/2022
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