Individual
EILEEN M DEXHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
660 N WESTMORELAND RD, LAKE FOREST, IL 60045-1659
(847) 535-6520
Mailing address
2917 LIBERTY LN, LINDENHURST, IL 60046-7893
(847) 265-6825
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-005226
IL
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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