Individual
MR. FERDINAND ARTUZ SERA JOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5793 N LINCOLN AVE, CHICAGO, IL 60659-4722
(872) 484-3123
Mailing address
5405 W PENSACOLA AVE, CHICAGO, IL 60641-1333
(872) 484-3123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.020647
IL
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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