Individual
PATRICK DOVICHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4021 W BELMONT AVE, CHICAGO, IL 60641-4771
(773) 328-5500
Mailing address
1801 W ERIE ST APT 1, CHICAGO, IL 60622-5520
(312) 933-7707
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160004210
IL
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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