Jhan Carlo Fontanilla, DPT

NPI #1104604867 in Lake Forest, Illinois

Provider Information

NPI Number: 1104604867
Entity Type: Individual
Name: Jhan Carlo Fontanilla, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Sep 14, 2023
Last Updated: Sep 14, 2023

Practice Location

Address: 900 N WESTMORELAND RD
City: Lake Forest
State: Illinois
ZIP Code: 60045-1674
Phone: (847) 535-6418

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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