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Individual

JON MICHAEL BERENA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2090 FOX LN, DES PLAINES, IL 60018-4029
(773) 704-3620
Mailing address
2090 FOX LN, DES PLAINES, IL 60018-4029
(773) 704-3620

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160009038
IL

Other

Enumeration date
04/14/2021
Last updated
04/14/2021
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