Individual
ANNA ALEXANDER FAIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 484-4150
(773) 521-5092
Mailing address
705 N CHAUNCEY AVE, WEST LAFAYETTE, IN 47906-2701
(765) 414-8233
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070023727
IL
Other
Enumeration date
09/05/2019
Last updated
03/25/2021
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