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Individual

STEVEN DESANTIAGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
217 N BROAD ST, GRIFFITH, IN 46319-2220
(219) 924-1500
(219) 924-9826
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012138A
IN

Other

Enumeration date
07/28/2016
Last updated
07/28/2016
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