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Individual

MR. ALFONSO ENRIQUEZ III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
183 N EAST RIVER RD UNIT D1, DES PLAINES, IL 60016-1286
(623) 755-3590
Mailing address
183 N EAST RIVER RD UNIT D1, DES PLAINES, IL 60016-1286
(623) 755-3590

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160007828
IL

Other

Enumeration date
09/19/2023
Last updated
09/19/2023
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