Individual
CORBAN EGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
1513 DEKALB AVE, SYCAMORE, IL 60178-2703
(815) 758-0000
(815) 991-9484
Mailing address
1952 ABERDEEN CT, SYCAMORE, IL 60178-3175
(815) 758-0000
(815) 991-9484
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
070023758
IL
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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