Individual
ALESHA RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4721 N CLARK ST, CHICAGO, IL 60640-7553
(773) 770-3682
Mailing address
2619 W AGATITE AVE APT 1H, CHICAGO, IL 60625-3089
(314) 497-8912
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.015665
IL
225100000X
Physical Therapist
Primary
70015665
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487869848
NPI
IL
Enumeration date
05/11/2007
Last updated
01/30/2023
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