Individual
ALMA LUMABAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6840 W TOUHY AVE, NILES, IL 60714-4520
(847) 647-6400
Mailing address
9124 MACARTHUR, DES PLAINES, IL 60016-6975
(847) 813-5290
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649341421
FOREST VILLA
IL
Enumeration date
07/05/2007
Last updated
07/08/2007
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