Individual
MS. JULIE DIANNE DE LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 TORRENCE AVE STE 900, CALUMET CITY, IL 60409-5430
(708) 915-3190
Mailing address
2244 121ST PL, BLUE ISLAND, IL 60406-1335
(708) 351-6473
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160003215
IL
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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