Individual
MISS ILIANA IVANOVA GEORGIEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
4600 FRONTAGE RD, HILLSIDE, IL 60162-1761
(708) 544-9933
Mailing address
6040 W GIDDINGS ST APT 1, CHICAGO, IL 60630-3167
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.014309
IL
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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