Individual
ADIJATU DISU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 S WOLCOTT, CHICAGO, IL 60612
(312) 864-3600
Mailing address
3426 W 85TH ST, CHICAGO, IL 60652-3734
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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