Individual
MR. THEODORE SCOTT LANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T.C.
Contact information
Practice address
901 BIESTERFIELD RD, SUITE 300, ELK GROVE VILLAGE, IL 60007-3392
(847) 437-9889
(847) 301-2829
Mailing address
157 SANTA FE LN, WILLOW SPRINGS, IL 60480-1624
(708) 467-0467
(815) 327-1614
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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