Individual
JASON VINCENT LANTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4225 KIRCHOFF RD, ROLLING MEADOWS, IL 60008-2005
(847) 397-2400
Mailing address
564 CONCORD LN, DES PLAINES, IL 60016-7529
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.007465
IL
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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