Individual
JAMES HARDEY DIMAILIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3229 BROADWAY STE 112, GARY, IN 46409-1040
(219) 980-0167
(219) 980-0198
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009135A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000504588
ANTHEM - MBWOUDE
IN
01
—
000000504592
ANTHEM - 1ST AID PLUS
IN
01
—
000000504597
ANTHEM - APT PLUS
IN
Enumeration date
11/17/2006
Last updated
02/06/2020
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