Individual
RICHARD MEBANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6255 S ARCHER AVE, CHICAGO, IL 60638-2609
(773) 284-6735
(773) 284-6820
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-6250
(630) 575-7450
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
03/21/2017
Last updated
03/22/2017
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