Individual
MRS. DIANE RUTH GENAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
710 S PAULINA ST, SUITE 732, CHICAGO, IL 60612-3808
(312) 942-5661
Mailing address
3901 CLAUSEN AVE, WESTERN SPRINGS, IL 60558-1226
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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