Individual
MR. IAN JAN FUNTILON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
101 KRISTIN CIR, 4, SCHAUMBURG, IL 60195-5429
(847) 345-4207
Mailing address
101 KRISTIN CIR, 4, SCHAUMBURG, IL 60195-5429
(847) 345-4207
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070013719
IL
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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