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MRS. PEGGY PATRICIA FORNERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2100 S FINLEY RD, LOMBARD, IL 60148-4830
(630) 495-4000
Mailing address
1209 HILLCREST LN, WOODRIDGE, IL 60517-7550
(630) 985-4585

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160002352
IL

Other

Enumeration date
11/23/2011
Last updated
11/23/2011
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