Individual
CHARLES VINCENT A ONG YIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6120 W OGDEN AVE, CICERO, IL 60804-3743
(708) 863-0500
Mailing address
6005 DEMPSTER ST, MORTON GROVE, IL 60053
(847) 470-1844
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070014428
IL
Other
Enumeration date
04/24/2007
Last updated
07/31/2020
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