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Individual

BARBARA FUDALI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4555 OAKTON ST, SKOKIE, IL 60076-3178
(847) 868-6800
Mailing address
4555 OAKTON ST, SKOKIE, IL 60076-3178
(847) 868-6800

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070012234
IL

Other

Enumeration date
07/20/2013
Last updated
07/20/2013
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