Individual
JOSEPH ROMERO DIMATULAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
21536 WOLF RD, MOKENA, IL 60448-2089
(815) 464-4418
Mailing address
1 HOGAN CT, BOLINGBROOK, IL 60490-2133
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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