Individual
KWONG LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3008 S HALSTED ST, SUITE 116, CHICAGO, IL 60608-5805
(312) 842-1205
(312) 842-1356
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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