Individual
RAFAEL SAURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16170 KINGSPORT RD, ORLAND PARK, IL 60467-5602
(708) 326-1550
Mailing address
16170 KINGSPORT RD, ORLAND PARK, IL 60467-5602
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.006429
IL
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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