NPI 1316714215

Jeremy Glavanovits

Practitioner Physical Therapist Lyons, IL

Practice location

Address: 8317 Ogden Ave, Lyons, IL 60534-1122
Phone: (847) 818-0461
Fax: (847) 305-2917
Mailing address: 33900 Harper Ave STE 104, Clinton Twp, MI 48035-4258

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 070027936 (IL)

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Registry record

NPI: 1316714215
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Dec 2023
Record last updated: 12 Dec 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.