Individual
BEATA BAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3703 W LAKE AVE, SUITE200, GLENVIEW, IL 60026-5823
(847) 998-1188
Mailing address
15131 W 143RD ST, HOMER GLEN, IL 60491-8543
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
04/19/2008
Last updated
04/19/2008
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