Individual
CHRISTIAN JOY LAZARO PANGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
306 CHICK EVANS ST, BOLINGBROOK, IL 60490
(630) 456-0389
Mailing address
306 CHICK EVANS ST, BOLINGBROOK, IL 60490-2075
(630) 456-0389
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.022797
IL
225100000X
Physical Therapist
Primary
070022797
IL
Other
Enumeration date
08/09/2017
Last updated
07/21/2022
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