Individual
JASON BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
815 COG CIR STE 1, CRYSTAL LAKE, IL 60014-7302
(815) 526-5980
(815) 479-0052
Mailing address
900 RAND RD STE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
(847) 929-1154
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160-008323
IL
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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