Individual
AVIS C JASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
405 N WABASH AVE, CHICAGO, IL 60611-3591
(312) 527-5560
(312) 527-9360
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6250
(630) 575-7450
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070023525
IL
Other
Enumeration date
01/17/2018
Last updated
02/16/2018
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