Individual
DIANE M MERKT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
446 E ONTARIO ST, CHICAGO, IL 60611-4418
(312) 926-3700
Mailing address
707 N LEAVITT ST, CHICAGO, IL 60612-1309
(312) 320-3005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70004730
LICENSE#
IL
Enumeration date
11/28/2006
Last updated
07/08/2007
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