Ian Bennett

NPI #1578073425 in La Grange, Illinois

Provider Information

NPI Number: 1578073425
Entity Type: Individual
Name: Ian Bennett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Oct 5, 2017
Last Updated: Oct 5, 2017

Practice Location

Address: 1 N LA GRANGE RD UNIT 2C
City: La Grange
State: Illinois
ZIP Code: 60525-2050
Phone: (708) 698-5680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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