Individual
MR. JOSEPH ROBERT WIRTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA LMT
Contact information
Practice address
3633 WEST LAKE AVE, STE 102, GLENVIEW, IL 60026
(847) 724-7600
(847) 724-7693
Mailing address
4721 N CAMPBELL AVE, CHICAGO, IL 60625-2905
(773) 275-0444
(773) 275-0444
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
—
IL
225700000X
Massage Therapist
Primary
—
IL
Other
Enumeration date
02/15/2007
Last updated
09/11/2025
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