Individual
EMELYN B AGONCILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2615 HARRISON ST, BELLWOOD, IL 60104-2450
(708) 493-0399
(708) 493-9683
Mailing address
2615 HARRISON ST, BELLWOOD, IL 60104-2450
(708) 493-0399
(708) 493-9683
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070008627
IL
Other
Enumeration date
08/24/2010
Last updated
10/01/2019
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