Individual
CAREY DAHLQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2338 W VAN WINKLE WAY, SUITE 3100, PEORIA, IL 61615-7483
(309) 693-9189
Mailing address
2810 FRANK SCOTT PKWY W, SUITE 824, BELLEVILLE, IL 62223-5007
(618) 234-9705
(618) 257-0665
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070021581
IL
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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