Individual
MR. AARON J NEVDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3266 SYCAMORE RD, DEKALB, IL 60115-9621
(815) 756-8524
(815) 756-1841
Mailing address
3266 SYCAMORE RD, DEKALB, IL 60115-9621
(815) 756-8524
(815) 756-1841
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070013167
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650024158
RAILROAD MEDICARE
—
Enumeration date
12/13/2005
Last updated
04/26/2017
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