Individual
DOROTHY MAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 S RIVERSIDE PLZ, 830, CHICAGO, IL 60606-5808
(312) 416-3804
Mailing address
222 S RIVERSIDE PLZ, 830, CHICAGO, IL 60606-5808
(312) 416-3804
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160004843
IL
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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