Individual
GHISLAINE IMARIS IBARRA-BRENNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3011 N CLARK ST, CHICAGO, IL 60657
(773) 661-0240
(773) 289-1541
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.024199
IL
Other
Enumeration date
04/23/2019
Last updated
11/26/2019
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