Individual
ANGELO MIKHAEL VARQUEZ LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
150 HARVESTER DR, SUITE 105, BURR RIDGE, IL 60527-5919
(630) 246-5100
(630) 246-5118
Mailing address
2904 BARTLETT CT, UNIT 102, NAPERVILLE, IL 60564-4900
(630) 418-5154
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070021904
IL
Other
Enumeration date
02/02/2016
Last updated
03/09/2017
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