Individual
ANGELI JUSTINE CHAVEZ MATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5304 N BROADWAY ST, CHICAGO, IL 60640-2312
(630) 368-1771
(708) 658-2750
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-026976
IL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
02/16/2026
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