Individual
YAZMIN ADAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2106 WESTCHESTER BLVD, WESTCHESTER, IL 60154-4338
(708) 336-9337
Mailing address
2106 WESTCHESTER BLVD, WESTCHESTER, IL 60154-4338
(773) 818-3911
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160007906
IL
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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