Individual
MRS. CHARMAINE BONCALON ESPIRITU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 W 95TH ST, EVERGREEN PARK, IL 60805-2701
(708) 229-5525
(708) 229-6611
Mailing address
2800 W 95TH ST, EVERGREEN PARK, IL 60805-2701
(708) 229-5525
(708) 229-6611
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.015530
IL
225100000X
Physical Therapist
Primary
070015530
IL
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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