Individual
CARLOS CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
500 E 51ST ST STE 1, CHICAGO, IL 60615-2494
(773) 543-7450
Mailing address
938 W 35TH ST, CHICAGO, IL 60609-1513
(773) 543-7450
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.009228
IL
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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