Individual
MIGUEL MUSNGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12550 S RIDGELAND AVE, PALOS HEIGHTS, IL 60463-1859
(708) 597-9300
Mailing address
163 HOLLY ST, BOLINGBROOK, IL 60490-2106
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.006741
IL
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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