Individual
ANTON DOMINIC TAMAYO URGELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4700 GILBERT AVE STE 43A, WESTERN SPRINGS, IL 60558-1670
(708) 783-1044
(708) 783-1048
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 585-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-027641
IL
225100000X
Physical Therapist
5387
OK
Other
Enumeration date
10/05/2017
Last updated
08/08/2023
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