Individual
ALISON KRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5300 N ILLINOIS ST STE 101, FAIRVIEW HEIGHTS, IL 62208-3500
(618) 624-9300
(618) 624-9330
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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