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Individual

DR. DAVID MICHAEL FENGYA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1170 E BELVIDERE RD STE 108, GRAYSLAKE, IL 60030-2034
(847) 543-4800
Mailing address
1170 E BELVIDERE RD STE 108, GRAYSLAKE, IL 60030-2034
(847) 543-4800

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012549A
IN

Other

Enumeration date
01/04/2018
Last updated
03/04/2021
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