Individual
CAROLYN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3703 W LAKE AVE, SUITE 200, GLENVIEW, IL 60026-5823
(847) 998-1188
Mailing address
9528 S LEAVITT ST, CHICAGO, IL 60643-1010
(773) 445-4284
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070005923
IL
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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