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Randy Carlo Alarcon

Physical Therapist in Niles, IL. Individual provider (NPI-1).

NPI number1659978633
StatusActive
Last updated in NPPESOct 3, 2020

Details

NPI
1659978633
Entity type
Individual (NPI-1)
Name
Randy Carlo Alarcon
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 3, 2020
Certification date
Oct 3, 2020
Last updated
Oct 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

6840 W Touhy Ave
Niles, IL 60714-4520

Phone 847-647-6400

Mailing address

1712 N Park Dr
Mount Prospect, IL 60056-1733

Phone 773-490-3258

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