Individual
DAVID ISHIKAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
6303 N CLARK ST, CHICAGO, IL 60660-1203
(773) 270-1652
Mailing address
6815 N KOSTNER AVE, LINCOLNWOOD, IL 60712-4716
(312) 863-1040
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.022420
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070022420
—
IL
Enumeration date
08/22/2018
Last updated
06/16/2022
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