Individual
ANGELO MIRANDA DIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1714 MILWAUKEE AV, GLENVIEW, IL 60025
(847) 699-6810
(847) 699-6545
Mailing address
1714 MILWAUKEE AV, GLENVIEW, IL 60025
(847) 699-6810
(847) 699-6545
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070012401
IL
Other
Enumeration date
06/19/2006
Last updated
11/16/2011
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