Individual
MR. EDUARDO L. SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3703 W LAKE AVE, SUITE 200, GLENVIEW, IL 60026-5823
(847) 998-1188
Mailing address
2003 E CAYUGA LN, MOUNT PROSPECT, IL 60056-1721
(847) 298-6098
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160001814
IL
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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