Individual
MR. JON ISHIHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT00005286
WA
2251X0800X
Orthopedic Physical Therapist
Primary
PT00005286
WA
Other
Enumeration date
08/01/2006
Last updated
10/03/2025
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