Individual
ERICA NIWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4080 N MILWAUKEE AVE, CHICAGO, IL 60641-1831
(773) 545-1153
(773) 545-1568
Mailing address
4080 N MILWAUKEE AVE, CHICAGO, IL 60641-1831
(773) 545-1153
(773) 545-1568
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-014357
IL
Other
Enumeration date
08/15/2006
Last updated
07/01/2014
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