Individual
MRS. DODA BARTOLABAC MERDEGIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 N WALL ST, KANKAKEE, IL 60901-2901
(815) 933-1671
Mailing address
354 WHITEWATER DR APT 105, BOLINGBROOK, IL 60440-7908
(815) 295-3923
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070016915
IL
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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