Individual
DEONNE THADDEUS NOGUERRA UBAYUBAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1102 S ROSELLE RD, SCHAUMBURG, IL 60193-4072
(847) 882-1438
Mailing address
113 STIRLING LN, SCHAUMBURG, IL 60194-4827
(630) 363-3136
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070022513
IL
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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