Michael Decolongon

NPI #1932079332 in Morton Grove, Illinois

Provider Information

NPI Number: 1932079332
Entity Type: Individual
Name: Michael Decolongon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Nov 10, 2025
Last Updated: Nov 10, 2025

Practice Location

Address: 9000 WAUKEGAN RD STE 100
City: Morton Grove
State: Illinois
ZIP Code: 60053-2128
Phone: (847) 779-6050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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