Individual
DIVINIA ENCARNACION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3703 W LAKE AVE, SUITE 200, GLENVIEW, IL 60026-1266
(847) 998-1188
Mailing address
3703 W LAKE AVE, SUITE 200, GLENVIEW, IL 60026-1266
(847) 998-1188
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070019963
IL
Other
Enumeration date
12/15/2014
Last updated
12/26/2014
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