Individual
PATRYK BODUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7230 W NORTH AVE STE 212, ELMWOOD PARK, IL 60707-4213
(708) 456-2322
Mailing address
3018 FARRELL AVE, PARK RIDGE, IL 60068-1142
(773) 710-3958
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.009081
IL
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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