Individual
MR. JONATHAN CASABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10300 SOUTHWEST HWY, CHICAGO RIDGE, IL 60415-1426
(708) 425-1100
Mailing address
10300 SOUTHWEST HIGHWAY, CHICAGO RIDGE, IL 60415
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160002269
IL
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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