Individual
DENNIS G CANDELARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4101 LAKE COOK RD, NORTHBROOK, IL 60062-1112
(847) 562-1770
Mailing address
23528 N EAST RD, LAKE ZURICH, IL 60047-8815
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070014713
IL
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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