Individual
EDRYAN EUGENIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2520 GROSS POINT RD, EVANSTON, IL 60201-4929
(847) 328-6000
Mailing address
2520 GROSS POINT RD, EVANSTON, IL 60201-4929
(847) 328-6000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
70015549
IL
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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