Individual
SAMUEL FRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5905 W WASHINGTON BLVD, CHICAGO, IL 60644-2845
(773) 261-7074
Mailing address
1636 ELMWOOD AVE, BERWYN, IL 60402-1439
(708) 990-6912
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160006460
IL
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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