Individual
JONATHAN MARAVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 W OAKTON ST, ARLINGTON HEIGHTS, IL 60004-4602
(847) 368-7400
Mailing address
8319 CONCORD DR, MORTON GROVE, IL 60053-2234
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160006219
IL
Other
Enumeration date
10/28/2018
Last updated
10/28/2018
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