Individual
CAROL ROEPENACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5820 W IRVING PARK RD, CHICAGO, IL 60634-2616
(773) 685-8482
Mailing address
5820 W IRVING PARK RD, CHICAGO, IL 60634-2616
(847) 470-0727
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.002957
IL
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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