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Individual

EVETTE SOUHLAS COLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
225 E CHICAGO AVE, BOX 142, CHICAGO, IL 60611-2991
(773) 327-2880
(773) 327-0547
Mailing address
4N050 FERSON CREEK RD, ST CHARLES, IL 60174-1131
(773) 405-6020

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070012817
IL

Other

Enumeration date
02/19/2007
Last updated
02/01/2024
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