Individual
MARY IMMACULATE CABANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 DIVISION DR, SUGAR GROVE, IL 60554-5109
(630) 315-1000
Mailing address
414 DIVISION DR, SUGAR GROVE, IL 60554-5109
(630) 315-1000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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