Individual
JIGEEH MANTUJAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4559 IMPERIAL DR, 3E, RICHTON PARK, IL 60471-2437
(224) 279-8709
Mailing address
4559 IMPERIAL DR, 3E, RICHTON PARK, IL 60471-2437
(224) 279-8709
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
070.018343
IL
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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