Individual
CARMEN ENID CAPO LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
25 EAST WASHINGTON STREET, #1310, CHICAGO, IL 60602
(312) 855-1711
(312) 855-9208
Mailing address
25 EAST WASHINGTON STREET, #1310, CHICAGO, IL 60602
(312) 855-1711
(312) 855-9208
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070018168
IL
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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