MR. Jomon M Edakara

NPI #1609094630 in Deerfield, Illinois

Provider Information

NPI Number: 1609094630
Entity Type: Individual
Name: MR. Jomon M Edakara
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Apr 23, 2007
Last Updated: Aug 13, 2024

Practice Location

Address: 1551 LAKE COOK RD
City: Deerfield
State: Illinois
ZIP Code: 60015-5651
Phone: (847) 374-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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