Individual
MARK IAN MADRONA CABASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2203 PEMBRIDGE LN, JOLIET, IL 60431-7731
(815) 409-8301
Mailing address
26005 W MILESTONE DR, PLAINFIELD, IL 60585-2331
(815) 782-8871
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
070.014988
IL
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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