Individual
MARTHA WIEDLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4920 N CENTRAL AVE, CHICAGO, IL 60630-2338
(773) 205-8911
(773) 763-3056
Mailing address
4920 N CENTRAL AVE, CHICAGO, IL 60630-2338
(773) 205-8911
(773) 763-3056
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
IL
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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