Individual
EVA VASTAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 WELLINGTON CT, LINCOLNSHIRE, IL 60069-3424
(847) 810-0991
Mailing address
14 WELLINGTON CT, LINCOLNSHIRE, IL 60069-3424
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.006623
IL
Other
Enumeration date
01/27/2014
Last updated
04/13/2014
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