Individual
IAN HARTWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
409 NEWCASTLE DR, CARY, IL 60013-1703
(773) 426-1312
Mailing address
409 NEWCASTLE DR, CARY, IL 60013-1703
(773) 426-1312
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160002779
IL
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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