Individual
MRS. ANNA RUSELLE E. ROSKA-DIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
3703 W LAKE AVE, SUITE 200, GLENVIEW, IL 60026-5823
(847) 998-1188
Mailing address
6655 WEST PINE LAKE DR, TINLEY PARK, IL 60477-4934
(708) 263-5245
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070015745
IL
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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