Individual
MANUEL LULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
9535 S JEFFERY BOULEVARD, CHICAGO, IL 60617
(773) 359-4347
Mailing address
570 VILLAGE CENTER DR STE 205, BURR RIDGE, IL 60527-4526
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008926
IL
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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