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Individual

ANA MARIE BOYLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS PT

Contact information

Practice address
3004 S PULASKI RD, CHICAGO, IL 60623-4458
(773) 521-5300
(773) 721-5305
Mailing address
16541 LOCKRIDGE AVE, OAK FOREST, IL 60452-4139
(708) 560-0157
(708) 333-6560

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
K11736
IND MEDICARE PIN
IL
Enumeration date
09/16/2006
Last updated
07/08/2007
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