Individual
MR. FAKHRY WILSON AZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
872 W DAYTON ST, GALESBURG, IL 61401-1503
(309) 344-3400
(309) 344-5040
Mailing address
872 W DAYTON ST, GALESBURG, IL 61401-1503
(309) 344-3400
(309) 344-5040
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070003561
IL
Other
Enumeration date
07/18/2006
Last updated
03/07/2023
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