Individual
ANNA PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9933 LAWLER AVE, SKOKIE, IL 60077-3703
(847) 786-0123
(847) 264-9088
Mailing address
39132 WELSH LN, BEACH PARK, IL 60083-3059
(224) 430-0759
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070016176
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070016176
PRIVATE INSURANCES
IL
Enumeration date
09/10/2021
Last updated
09/10/2021
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