DR. Carl Stephen Jannusch, PT, DPT

NPI #1750966289 in Lake Forest, Illinois

Provider Information

NPI Number: 1750966289
Entity Type: Individual
Name: DR. Carl Stephen Jannusch, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Mar 16, 2021
Last Updated: Mar 16, 2021

Practice Location

Address: 1200 N WESTMORELAND RD STE 200
City: Lake Forest
State: Illinois
ZIP Code: 60045-1601
Phone: (847) 535-7550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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