Individual
CHRISTIAN VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
12450 WALKER RD, LEMONT, IL 60439-9301
(630) 243-0400
Mailing address
12450 WALKER RD, LEMONT, IL 60439-9301
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.009146
IL
Other
Enumeration date
11/21/2020
Last updated
11/21/2020
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