NPI 1023492097

Athen Clifton, PTA

Practitioner Physical Therapy Assistant Chicago, IL

Practice location

Address: 3919 W Foster Ave, Chicago, IL 60625-6056
Phone: (773) 588-9500
Mailing address: 3703 W Lake Ave Suite 200, Glenview, IL 60026-5823

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 160.006932 (IL)

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Registry record

NPI: 1023492097
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jul 2015
Record last updated: 19 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.