Individual
ANNE JELICA DENISE PANGANIBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1611 W HARRISON ST STE 400, CHICAGO, IL 60612-4861
(708) 236-2600
Mailing address
1611 W HARRISON ST STE 107, CHICAGO, IL 60612-4861
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070027961
IL
Other
Enumeration date
05/03/2023
Last updated
12/06/2023
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