Individual
FUAD JIMBA ATOBAJEUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3001 S KING DR APT 809, CHICAGO, IL 60616-3328
(708) 355-1652
Mailing address
3001 S KING DR APT 809, CHICAGO, IL 60616-3328
(708) 355-1652
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160007115
IL
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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