Individual
MR. MARK STANLEY HAGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3703 W LAKE AVE, SUITE 200, GLENVIEW, IL 60026-1223
(847) 998-1188
Mailing address
1 VETERANS DR, MANTENO, IL 60950-9466
(815) 468-7731
(815) 468-7730
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160006216
IL
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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