Individual
BJ ANNE LENCIOCO DILAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3847 W 95TH ST, EVERGREEN PARK, IL 60805-2020
(708) 422-4441
Mailing address
3847 W 95TH ST, EVERGREEN PARK, IL 60805-2020
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070016881
IL
Other
Enumeration date
03/12/2009
Last updated
03/12/2009
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