Individual
BERNT A CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1801 S HIGHLAND AVE, LOMBARD, IL 60148-4932
(630) 873-8860
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070018576
IL
Other
Enumeration date
07/27/2011
Last updated
05/26/2023
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