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Individual

CHERYL A MOFFETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
12531 REGENCY PKWY, HUNTLEY, IL 60142-6500
(847) 659-1000
(847) 659-1012
Mailing address
12531 REGENCY PKWY, HUNTLEY, IL 60142-6500
(847) 659-1000
(847) 659-1012

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070008160
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00271384
RAILROAD MEDICARE
IL
Enumeration date
07/17/2006
Last updated
07/31/2014
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