Individual
MR. JOSE EMMANUEL CANDIA HONORIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9 LADD LN, SPRING VALLEY, IL 61362-1634
(470) 892-1628
(470) 892-1628
Mailing address
9 LADD LN, SPRING VALLEY, IL 61362-1634
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070026818
IL
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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