Individual
MR. JEREMY PAUL RAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT, PT
Contact information
Practice address
425 JOLIET ST, SUITE 320, DYER, IN 46311-1765
(219) 864-0290
(219) 864-0376
Mailing address
1555 183RD ST, HOMEWOOD, IL 60430-3401
(708) 712-6475
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010723A
IN
225100000X
Physical Therapist
070.017057
IL
Other
Enumeration date
05/26/2009
Last updated
01/03/2017
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