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Individual

DR. CARL STEPHEN JANNUSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
1200 N WESTMORELAND RD STE 200, LAKE FOREST, IL 60045-1601
(847) 535-7550
(847) 535-7840
Mailing address
1200 N WESTMORELAND RD STE 200, LAKE FOREST, IL 60045-1601
(847) 535-7550
(847) 535-7840

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.017955
IL

Other

Enumeration date
03/16/2021
Last updated
03/16/2021
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