Individual
ELIZABETH DVORKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-014605
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00863074
MEDICARE RR
IL
Enumeration date
10/14/2008
Last updated
12/01/2010
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