Individual
MR. ALEXANDER M WALLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1513 DEKALB AVE, SYCAMORE, IL 60178-2703
(630) 933-1500
Mailing address
1513 DEKALB AVE, SYCAMORE, IL 60178-2703
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
160009955
IL
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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