Search › Illinois › 2255A2300X
Denny Wongosari, MS, LAT, ATC
NPI 1649604737 · on the registry since 2013
Practice
- Address
- 2065 Half Day Rd
Deerfield, IL 60015 - Phone
- (847) 317-7116
- Organisation at this address
- Trinity International University
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-07-18
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