Individual
DEBRA YIRKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1120 HOUBOLT RD, JOLIET, IL 60431-9063
(815) 741-2499
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070004342
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01062369
MEDICARE RAILROAD
IL
Enumeration date
03/07/2007
Last updated
11/11/2014
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