Individual
CHARLES DADIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 W WILSON ST, PALATINE, IL 60067-5069
(847) 464-3901
(847) 359-1035
Mailing address
900 RAND RD STE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
(847) 929-1154
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-027101
IL
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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