Individual
MR. ANTHONY STUART GRAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
412 W 31ST ST, CHICAGO, IL 60616-3116
(312) 225-3119
Mailing address
1419 W GEORGE ST, CHICAGO, IL 60657-4103
(916) 505-3101
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.021832
IL
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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