Individual
MR. ALWAYNE S TULAYBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6135 N BROADWAY ST, # 301, CHICAGO, IL 60660-2553
(773) 405-0130
(773) 764-6197
Mailing address
6135 N BROADWAY ST, # 301, CHICAGO, IL 60660-2553
(773) 405-0130
(773) 764-6197
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
03/18/2007
Last updated
07/09/2007
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