Individual
DR. CHERRYL RAFAEL THEANCHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
225 REVERE DR, SUITE 200, NORTHBROOK, IL 60062
(847) 412-4350
Mailing address
101 POINTE DR UNIT 102, NORTHBROOK, IL 60062-1003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070021300
IL
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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