Individual
ANTHONY MIRELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2000 LAKE AVE, WOODSTOCK, IL 60098-7401
(815) 337-7100
Mailing address
2000 LAKE AVE, WOODSTOCK, IL 60098-7401
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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