Individual
CLINTON BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1704 EASTLAND DR STE 15, BLOOMINGTON, IL 61704-3580
(309) 664-7766
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.022406
IL
Other
Enumeration date
08/17/2016
Last updated
07/21/2022
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