MEDICARE: JOYCE GILONGOS CLAR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	070021166	IL

General Provider Information

NPI Number	:	1124514211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOYCE GILONGOS CLAR

Provider Business Mailing Address
First Line	:	6311 N KARLOV AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-4503
Country	:	US
Telephone Number	:	224-587-0072
Fax Number	:

Provider Business Practice Location Address
First Line	:	8118 N MILWAUKEE AVE
Second Line	:
City	:	NILES
State	:	IL
Zip	:	60714-2817
Country	:	US
Telephone Number	:	847-430-3590
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2018
Last Update Date	:	07/02/2018

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Directions to “ JOYCE GILONGOS CLAR ” Practice Location

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