Individual
RANIEL LINGAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2901 WOLF RD, WESTCHESTER, IL 60154-5623
(708) 531-1441
Mailing address
1308 WISCONSIN AVE, BERWYN, IL 60402-1253
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.007917
IL
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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