Individual
DANIEL ANZELMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
16622 W 159TH ST STE 503, LOCKPORT, IL 60441-8015
(815) 838-5070
(815) 838-5071
Mailing address
16622 W 159TH ST STE 503, LOCKPORT, IL 60441-8015
(815) 838-5070
(815) 838-5071
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070025174
IL
Other
Enumeration date
09/02/2020
Last updated
12/30/2021
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