Individual
JOSEPH BUDRECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
200 E CONGRESS PKWY, CRYSTAL LAKE, IL 60014-6268
(815) 477-4348
Mailing address
200 E CONGRESS PKWY, CRYSTAL LAKE, IL 60014-6268
(815) 477-4348
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.002945
IL
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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