Individual
DIANA BADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1729 BENSON AVE, EVANSTON, IL 60201-3704
(847) 570-7170
Mailing address
3618 N FREMONT ST # 3, CHICAGO, IL 60613-4348
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-009572
IL
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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