Individual
DANIEL STURGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4334 FOX VALLEY CENTER DR, AURORA, IL 60504-7945
(630) 236-7544
(630) 234-7574
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070015302
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01226972
MEDICARE RAILROAD
IL
Enumeration date
10/02/2006
Last updated
12/11/2014
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