Individual
KAASE GAYL EL-TALABANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
517 E NORTH ST, BRADLEY, IL 60915-1258
(815) 802-7503
(815) 802-7514
Mailing address
517 E NORTH ST, BRADLEY, IL 60915-1258
(815) 802-7503
(815) 802-7514
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160007595
IL
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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