Individual
JOHN M TERVANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICENSED PTA
Contact information
Practice address
5420 S NEW ENGLAND AVE APT 1, CHICAGO, IL 60638-2322
(773) 350-5037
Mailing address
5420 S NEW ENGLAND AVE APT 1, CHICAGO, IL 60638-2322
(773) 350-5037
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.009843
IL
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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