Individual
JONATHAN AGUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3800 N CALIFORNIA AVE, CHICAGO, IL 60618-3606
(478) 478-4222
Mailing address
1666 W EDGEWATER AVE, CHICAGO, IL 60660-4016
(773) 350-2167
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008394
IL
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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