Individual
JILLIAN KOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11360 BROADWAY, CROWN POINT, IN 46307-7197
(219) 600-4656
Mailing address
11360 BROADWAY, CROWN POINT, IN 46307-7197
(219) 600-4656
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013959A
IN
225100000X
Physical Therapist
070.025456
IL
Other
Enumeration date
10/02/2020
Last updated
10/22/2020
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