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Individual

JASON MAGAFAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
975 N 5TH AVE, ST CHARLES, IL 60174-1299
(630) 443-8220
Mailing address
11916 OREGON TRL, ORLAND PARK, IL 60467-1226
(708) 601-1642

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160008192
IL

Other

Enumeration date
09/18/2019
Last updated
09/18/2019
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