Individual
GORDON D HUSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
420 N IL ROUTE 31, CRYSTAL LAKE, IL 60012-3711
(815) 356-5200
(815) 356-5262
Mailing address
1720 CHURCH ST, JOHNSBURG, IL 60051-8206
(815) 344-5643
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-004524
IL
Other
Enumeration date
07/08/2006
Last updated
03/24/2013
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