Individual
MR. GEM U CATAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1720 GRAND AVE, WAUKEGAN, IL 60085-3502
(847) 625-0202
(847) 625-0101
Mailing address
1720 GRAND AVE, WAUKEGAN, IL 60085-3502
(847) 625-0202
(847) 625-0101
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160007508
IL
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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