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Individual

TONI ALEXEYCHUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11531 SWINFORD LN, MOKENA, IL 60448-9274
(219) 677-2461
(708) 479-2111
Mailing address
11531 SWINFORD LN, MOKENA, IL 60448-9274
(219) 677-2461
(708) 479-2111

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05006226A
IN
225100000X
Physical Therapist
70011379
IL
2251P0200X
Pediatric Physical Therapist
Primary
05006226A
IN

Other

Enumeration date
04/23/2007
Last updated
08/15/2007
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