Individual
ALICIA EMERSON KAVCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 484-4150
Mailing address
1530 S STATE ST, UNIT #810, CHICAGO, IL 60605-2964
(773) 484-4150
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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