Individual
DEXTER AVANCENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 N WHEELING RD, MOUNT PROSPECT, IL 60056
(847) 977-0623
Mailing address
1020 N WHEELING RD, MOUNT PROSPECT, IL 60056
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070014198
IL
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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