Individual
JEFFREY JOHN D'ADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
16622 W 159TH ST STE 503, LOCKPORT, IL 60441-8015
(815) 838-5070
(815) 838-5071
Mailing address
16622 W 159TH ST STE 503, LOCKPORT, IL 60441-8015
(815) 838-5070
(815) 838-5071
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160008543
IL
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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