Individual
ANDREW BALTAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
404 MCHENRY RD, BUFFALO GROVE, IL 60089-6740
(847) 885-0078
Mailing address
404 MCHENRY RD, BUFFALO GROVE, IL 60089-6740
(847) 885-0078
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.010311
IL
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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