Individual
CAROLINE DYKSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1156 W LAKE COOK RD, BUFFALO GROVE, IL 60089
(847) 520-7264
(847) 520-7290
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070024020
IL
225100000X
Physical Therapist
22727
MA
Other
Enumeration date
12/06/2016
Last updated
10/17/2018
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