Individual
SUSAN MARIE DINEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5425
Mailing address
172 W KATHLEEN DR, PARK RIDGE, IL 60068-2618
(312) 972-8994
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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