Individual
MAYBELLE LOZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 W BUTTERFIELD RD, ELMHURST, IL 60126-4980
(630) 832-2300
Mailing address
330 E CREST AVE, BENSENVILLE, IL 60106-3150
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.006834
IL
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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