Individual
MR. ANTHONY CLIFFORD SWIFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2649 E 75TH ST, CHICAGO, IL 60649-3835
(773) 356-9300
(773) 721-5842
Mailing address
14504 BLACKSTONE AVE, DOLTON, IL 60419-2438
(708) 519-0403
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160006516
IL
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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