Individual
BRIAN SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4620 N CLARK ST, CHICAGO, IL 60640-4620
(773) 728-2690
(773) 728-2692
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-020486
IL
Other
Enumeration date
01/07/2014
Last updated
03/13/2025
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