Individual
PERRY WILSON GAMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
220 SPRINGFIELD DR STE 300, BLOOMINGDALE, IL 60108-2215
(630) 967-2000
Mailing address
5336 N LARAMIE AVE, CHICAGO, IL 60630-2204
(630) 967-8504
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.009056
IL
Other
Enumeration date
10/29/2020
Last updated
03/31/2025
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