Individual
ADILA MILLWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT CWS
Contact information
Practice address
4677 W PETERSON AVE, CHICAGO, IL 60646-5834
(312) 404-2234
Mailing address
4677 W PETERSON AVE, CHICAGO, IL 60646-5834
(312) 404-2234
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
070009785
IL
Other
Enumeration date
11/07/2010
Last updated
11/07/2010
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