Jonathan Landstrom, DPT
Physical Therapist in Chicago, IL. Individual provider (NPI-1).
NPI number1669921797
StatusActive
Last updated in NPPESSep 30, 2016
Details
- NPI
- 1669921797
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Landstrom
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2016
- Last updated
- Sep 30, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 070022635 | IL | Yes |
Practice location
9645 S Western AveChicago, IL 60643-1722
Phone 773-239-9645
Mailing address
790 Remington BlvdBolingbrook, IL 60440-4909
Phone 630-296-2223 · Fax 630-759-9510
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