Individual
DAWNELL IBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
430 PENNSYLVANIA AVE, STE 240, GLEN ELLYN, IL 60137-4418
(630) 545-7801
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070005277
IL
Other
Enumeration date
03/27/2008
Last updated
06/22/2021
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