Individual
CHERYL A PASKVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
9645 S WESTERN AVE, CHICAGO, IL 60643-1722
(773) 239-2734
(773) 239-2784
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
(630) 795-6106
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070020163
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01399579
RR MEDICARE
IL
Enumeration date
07/08/2013
Last updated
02/17/2015
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