Individual
JOHN CASEY SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 S FINLEY RD, LOMBARD, IL 60148-7029
(630) 620-5850
Mailing address
6 PEMBROOK CT, BOLINGBROOK, IL 60440-1692
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160008244
IL
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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