Individual
MR. DELINARD SIBBALUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 21ST ST, PERU, IL 61354-1359
(815) 223-4901
Mailing address
120 W ROMINES CIR, DALZELL, IL 61320-9750
(815) 223-4901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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