Individual
JOHN HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 S LAFLIN ST APT 617, CHICAGO, IL 60607-2440
(312) 806-4292
Mailing address
6 S LAFLIN ST APT 617, CHICAGO, IL 60607-2440
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
160.006758
IL
225200000X
Physical Therapy Assistant
—
IL
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
02/26/2022
Last updated
02/26/2022
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