Individual
MS. JEAN CHENOWETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
13114 WESTERN AVE, BLUE ISLAND, IL 60406-2439
(708) 824-0515
(708) 824-0517
Mailing address
1816 170TH ST, HAZEL CREST, IL 60429-1451
(708) 335-1415
(708) 335-4792
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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