John Statza
Physical Therapist in Highwood, IL. Individual provider (NPI-1).
NPI number1154470102
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1154470102
- Entity type
- Individual (NPI-1)
- Name
- John Statza
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 9, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 070010054 | IL | Yes |
Practice location
324 Ashland AveHighwood, IL 60040-1104
Phone 847-433-7558
Mailing address
324 Ashland AveHighwood, IL 60040-1104
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