Individual
CHARLENE JOY FALLOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 MILWAUKEE AVE, NORTHBROOK, IL 60062-7126
(847) 795-9700
Mailing address
955 SUTTON DR, NORTHBROOK, IL 60062-3017
(847) 338-2576
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
100000886
IL
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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