Individual
BETHANY LOCICERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4080 N MILWAUKEE AVE, CHICAGO, IL 60641-1831
(773) 545-1153
(773) 545-1568
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-6200
(630) 928-5040
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070022590
IL
Other
Enumeration date
06/03/2016
Last updated
08/26/2016
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