Individual
ANDREW JELLEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1505 US HIGHWAY 41, SCHERERVILLE, IN 46375
(219) 322-5560
(219) 322-1549
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011217A
IN
225100000X
Physical Therapist
070.020408
IL
Other
Enumeration date
08/05/2013
Last updated
07/24/2018
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