Individual
KEN BARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3422
Mailing address
2318 WINCHESTER DR, CHAMPAIGN, IL 61821-6301
(217) 841-5616
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.002348
IL
Other
Enumeration date
03/06/2018
Last updated
03/17/2018
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