Individual
MARK ANGELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
975 N 5TH AVE, ST CHARLES, IL 60174-1299
(630) 443-8220
Mailing address
1388 BORDEN DR, ELGIN, IL 60120-4367
(773) 470-9050
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008294
IL
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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