Individual
DR. DAVID-JAMAHL ARDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
194 N WEBER ROAD, BOLINGBROOK, IL 60490
(690) 967-2000
Mailing address
1860 PAYSHERE CIRCLE, CHICAGO, IL 60674
16305456016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/26/2017
Last updated
08/30/2017
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