Individual
IAN RODERICK RAPISURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1151 HADLEY CIR, GURNEE, IL 60031-9110
(847) 532-4776
Mailing address
1151 HADLEY CIR, GURNEE, IL 60031-9110
(847) 532-4776
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070018419
IL
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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