Individual
MA. LOURDES L IPAPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5421 N EAST RIVER RD, APT 404, CHICAGO, IL 60656-1129
(773) 895-7599
Mailing address
5461 N EAST RIVER RD, APT 900, CHICAGO, IL 60656-1128
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070015513
IL
Other
Enumeration date
08/24/2012
Last updated
08/11/2013
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