Individual
BIANCA AJON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2233 W DIVISION ST, PHYSICAL THERAPY DEPARTMENT, CHICAGO, IL 60622-8151
(312) 770-2000
(312) 770-3477
Mailing address
2233 W DIVISION ST, PHYSICAL THERAPY DEPARTMENT, CHICAGO, IL 60622-8151
(312) 770-2000
(312) 770-3477
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.003017
IL
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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