Individual
MR. ALLAN JAHN SIMANGAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6950 W HIGGINS AVE, CHICAGO, IL 60656-1928
(312) 477-1265
Mailing address
6950 W HIGGINS AVE, CHICAGO, IL 60656-1928
(312) 477-1265
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008883
IL
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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