Individual
CHASE CARNEAL WHITTAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3319 N ELSTON AVE STE 100, CHICAGO, IL 60618-5811
(312) 733-0883
Mailing address
3319 N ELSTON AVE STE 100, CHICAGO, IL 60618-5811
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160009706
IL
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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