Individual
MRS. SUZANN MOUNTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3703 W LAKE AVE STE 200, GLENVIEW, IL 60026-1266
(847) 998-1188
Mailing address
15054 ALBRIGHT DR, LOCKPORT, IL 60441-1507
(708) 557-4684
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160003780
IL
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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