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Individual

MR. JOHN ANDREW LEVANDER III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.A.

Contact information

Practice address
22320 CLASSIC CT, LAKE BARRINGTON, IL 60010-5903
(847) 382-1568
(847) 382-1585
Mailing address
1484 S PEMBROKE DR, SOUTH ELGIN, IL 60177-2931
(331) 425-5072

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.006528
IL

Other

Enumeration date
09/24/2013
Last updated
09/24/2013
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