Individual
DYLAN HUMBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
573 W. ROUTE 22, LAKE ZURICH, IL 60047-2550
(847) 796-3320
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.021844
IL
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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