Individual
ANURA BANDARA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
16532 OAK PARK AVE, SUITE 100, TINLEY PARK, IL 60477-1918
(708) 704-4668
(708) 532-0030
Mailing address
8107 167TH PL, TINLEY PARK, IL 60477-2330
(708) 614-7622
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
01/27/2006
Last updated
07/08/2007
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