SearchIllinoisPhysical Therapy Assistant

Michael Mullan, PTA

NPI 1003547415 · on the registry since 2022

Practice

Address
20201 Crawford Ave
Olympia Fields, IL 60461
Phone
(708) 852-2540
Organisation at this address
Komedicine, Llc
Cepamerica Illinois Llp
Consultants In Pathology Sc
Alverno Lakeside Corporation
Olympia Fields Hospital, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
340

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-06-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois