Individual
MR. DMITRIY EPSHTEYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7001 CULLOM AVE., NORRIDGE, IL 60706
(708) 457-0700
Mailing address
7001 W CULLOM AVE, NORRIDGE, IL 60706-7100
(708) 457-0700
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160003722
IL
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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