Individual
EVALDAS NAKVOSAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4735 WILLOW SPRINGS RD, LA GRANGE, IL 60525-6130
(708) 352-6900
Mailing address
16W308 95TH PL, BURR RIDGE, IL 60527-6808
(773) 341-6552
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008040
IL
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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