Individual
DEANNA E KOLLIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6560 W FULLERTON AVE, CHICAGO, IL 60707-3439
(773) 745-0338
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160-005290
IL
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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