Individual
MISS FRITZIE DULAY DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3703 W LAKE AVE, SUITE 200, GLENVIEW, IL 60026-5823
(847) 998-1188
Mailing address
8813 ORIOLE AVE, MORTON GROVE, IL 60053-1851
(224) 522-2931
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070015791
IL
Other
Enumeration date
08/10/2008
Last updated
10/23/2023
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