Individual
GLADYS R REBOLLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., C.L.T.
Contact information
Practice address
3703 W LAKE AVE STE 200, GLENVIEW, IL 60026-1266
(847) 998-1188
Mailing address
1239 LEON WAY APT 2, BOURBONNAIS, IL 60914-4775
(815) 295-6836
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070015464
IL
Other
Enumeration date
09/19/2010
Last updated
09/19/2010
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