Individual
MR. GABRIEL NOGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, CSST, CKTP
Contact information
Practice address
1023 S CEDAR RD, NEW LENOX, IL 60451-2645
(630) 202-5666
Mailing address
13649 NATCHEZ TRL, ORLAND PARK, IL 60467-1220
(773) 457-8597
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
160.005530
IL
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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