Individual
GLENN S GAYONDATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
9933 LAWLER AVE, SKOKIE, IL 60077-3703
(847) 983-8417
Mailing address
9933 LAWLER AVE, SKOKIE, IL 60077-3703
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.023552
IL
Other
Enumeration date
07/12/2023
Last updated
07/20/2023
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