Individual
CYRIL CHACKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
9255 W NOEL AVE, 7-A, DES PLAINES, IL 60016
(847) 877-3881
Mailing address
9255 W NOEL AVE, 7-A, DES PLAINES, IL 60016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070018261
IL
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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