Individual
MR. BARRY CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1304 W BRADLEY AVE, CHAMPAIGN, IL 61821-2035
(217) 356-9176
(217) 356-9851
Mailing address
1304 W BRADLEY AVE, CHAMPAIGN, IL 61821-2035
(217) 356-9176
(217) 356-9851
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
56005889
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56005889
STATE LICENSE
IL
Enumeration date
04/25/2007
Last updated
07/08/2007
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