Individual
MS. GLORIA J WEISENSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1945 W WILSON AVE STE 100, CHICAGO, IL 60640-5258
(773) 290-6616
Mailing address
656 W NATALIE LN, ADDISON, IL 60101-3259
(630) 543-0559
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
160001892
IL
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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