Individual
MR. ALONSO H AVINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
10015 MELVINA AVE, OAK LAWN, IL 60453-3711
(773) 370-7675
(708) 499-0322
Mailing address
10015 MELVINA AVE, OAK LAWN, IL 60453-3711
(773) 370-7675
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-011636
IL
Other
Enumeration date
07/31/2006
Last updated
09/08/2011
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