Individual
JAMES WIESMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 967-2000
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 967-2000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.006998
IL
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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