Individual
GEORGE OPPONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2555 W EASTWOOD AVE APT 1, CHICAGO, IL 60625-2969
(773) 663-0924
Mailing address
2555 W EASTWOOD AVE APT 1, CHICAGO, IL 60625-2969
(773) 663-0924
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160008670
IL
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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