Individual
CASEY J VENARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
209 DOROTHY CT, ISLAND LAKE, IL 60042-9624
(847) 903-4080
Mailing address
209 DOROTHY CT, ISLAND LAKE, IL 60042-9624
(847) 903-4080
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.006395
IL
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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