Individual
GRACE DIEHL DORIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(888) 824-0200
Mailing address
141 PARK DRIVE, RIVER FOREST, IL 60305
(708) 937-2485
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.028536
IL
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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