Individual
JASON FURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(815) 756-1521
Mailing address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(815) 756-1521
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160005353
IL
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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