Individual
MR. ARCH TAMAYO FRUYLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
5440 N CUMBERLAND AVE STE A101, CHICAGO, IL 60656-4701
(773) 444-0400
Mailing address
5440 N CUMBERLAND AVE STE A101, CHICAGO, IL 60656-4701
(773) 444-0400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.017500
IL
Other
Enumeration date
06/27/2010
Last updated
06/27/2010
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