Individual
TOMAS A ESTACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1225 W LAKE ST, MELROSE PARK, IL 60160-4039
(708) 938-7185
Mailing address
1225 W LAKE ST, MELROSE PARK, IL 60160-4039
(708) 938-7185
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
009617
IL
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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