Individual
MR. JOHN EDWARD SWANK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 MILWAUKEE AVE, NORTHBROOK, IL 60062-7126
(847) 795-9700
Mailing address
8946 BELLEFORTE AVE, MORTON GROVE, IL 60053-2017
(773) 272-5830
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.007037
IL
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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