Individual
MRS. SIMI PAULOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1875 DEMPSTER ST, PARK RIDGE, IL 60068-1186
(847) 723-7500
Mailing address
8810 N OZANAM AVE, NILES, IL 60714-1710
(847) 567-8014
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
070.015968
IL
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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