MR. Ross G Vondrak, LMT, NCTMB

NPI #1588726277 in Countryside, Illinois

Provider Information

NPI Number: 1588726277
Entity Type: Individual
Name: MR. Ross G Vondrak, LMT, NCTMB
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT, NCTMB
Enumeration Date: Dec 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5707 S ASHLAND AVE
City: Countryside
State: Illinois
ZIP Code: 60525-3512
Phone: (708) 352-7782

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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Organizations

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