Angelo Mikhael Varquez Luna, P.T.
Physical Therapist in Burr Ridge, IL. Individual provider (NPI-1).
NPI number1356709596
StatusActive
Last updated in NPPESMar 9, 2017
Details
- NPI
- 1356709596
- Entity type
- Individual (NPI-1)
- Name
- Angelo Mikhael Varquez Luna
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 2, 2016
- Last updated
- Mar 9, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 070021904 | IL | Yes |
Practice location
150 Harvester DrSuite 105
Burr Ridge, IL 60527-5919
Phone 630-246-5100 · Fax 630-246-5118
Mailing address
2904 Bartlett CtUnit 102
Naperville, IL 60564-4900
Phone 630-418-5154
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