Individual
EDGE CLAUDIUS MAGTOTO NOCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7511 LEMONT RD STE 204, DARIEN, IL 60561-4386
(630) 985-4010
(630) 985-4056
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07027953
IL
Other
Enumeration date
12/11/2023
Last updated
12/14/2023
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