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Individual

JERICK ISLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1089 N SALEM DR, SCHAUMBURG, IL 60194-1331
(847) 882-1438
Mailing address
427 N WALNUT LN, SCHAUMBURG, IL 60194-3839
(224) 595-5443

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.006854
IL

Other

Enumeration date
08/22/2014
Last updated
08/22/2014
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