NPI 1104504968

Matthew Kang, PTDPTOCS

Practitioner Physical Therapist Hinsdale, IL

Practice location

Address: 12 Salt Creek Ln STE 325, Hinsdale, IL 60521-8621
Phone: (630) 856-6425
Mailing address: 1115 Brandywyn Ln, Buffalo Grove, IL 60089-1101

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 070.025537 (IL)

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Registry record

NPI: 1104504968
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jul 2023
Record last updated: 17 Jul 2023

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.