Individual
MR. AMADOR AYALA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1200 OLD SKOKIE RD, HIGHLAND PARK, IL 60035-3036
(847) 748-8037
Mailing address
1200 OLD SKOKIE RD, HIGHLAND PARK, IL 60035-3036
(847) 748-8037
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.023307
IL
Other
Enumeration date
09/12/2017
Last updated
07/21/2022
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