Individual
IAN N KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
558 W 35TH ST, CHICAGO, IL 60616-3532
(773) 451-0200
(773) 451-0700
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070027947
IL
Other
Enumeration date
12/13/2023
Last updated
12/22/2023
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