Individual
MARIA CONSUELO BARBA LUZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1501 BUSCH PKWY, BUFFALO GROVE, IL 60089-2686
(847) 419-7150
Mailing address
1372 KETTERING RD, MUNDELEIN, IL 60060-5364
(847) 566-2106
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
070.005896
IL
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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