Individual
MRS. CHARLYNN MARIE PATELSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1229 S CLIFTON AVE, PARK RIDGE, IL 60068-5181
(847) 825-4217
(847) 318-7145
Mailing address
1229 S CLIFTON AVE, PARK RIDGE, IL 60068-5181
(847) 825-4217
(847) 318-7145
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031602233
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/14/2006
Last updated
07/08/2007
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