Individual
ARC CAPULONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1770 N HICKS RD, FOREST GROVE ATHLETIC CLUB, PALATINE, IL 60074-2339
(847) 776-0106
(847) 776-0134
Mailing address
1770 N HICKS RD, PALATINE, IL 60074-2339
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
02/12/2007
Last updated
07/12/2007
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