Efosa L Guobadia PT

NPI 1215246145 - Physical Therapist - 225100000X

NPI Details
NPI 1215246145
Gender Male
Enumeration Date 09/27/2010
Last Updated 01/19/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
3233 W ADDISON ST
CHICAGO IL, 60618-4328, US
Phone (773) 478-0496
Fax (773) 478-1251
Business Location
790 REMINGTON BLVD
BOLINGBROOK IL, 60440-4909, US
Phone (630) 296-2223
Fax
Toxanomy
Taxonomy Code 225100000X
License State
License Number
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According to our database, Efosa L Guobadia PT NPI is 1215246145, taxonomy code is 225100000X Efosa L Guobadia PT physically located at 3233 W Addison St, Chicago IL, 60618-4328. NPI Number Efosa L Guobadia PT has the Individual type.

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1215246145 NPI number is provided on an as is basis without warranty of any kind. 1215246145 is maintained by the National Plan & Provider Enumeration System. The contents of Efosa L Guobadia PT are for informational purposes only.