Individual
JOSEPH ALBERT DE MESA MONTEMAYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3639 N OTTAWA AVE, UNIT 2, CHICAGO, IL 60634-3108
(773) 844-8231
Mailing address
3639 N OTTAWA AVE, UNIT 2, CHICAGO, IL 60634-3108
(773) 844-8231
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
070015664
IL
Other
Enumeration date
04/25/2015
Last updated
04/25/2015
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