Individual
MISS BERTHA XITLALY GOLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
600 N MCCLURG CT, STE A312, CHICAGO, IL 60611-3011
(312) 337-8840
(312) 337-9334
Mailing address
600 N MCCLURG CT, STE A312, CHICAGO, IL 60611-3011
(312) 337-8840
(312) 337-9334
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.014584
IL
225100000X
Physical Therapist
070014584
IL
Other
Enumeration date
11/25/2009
Last updated
10/23/2012
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