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Individual

MS. TRACY LYNN RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
11952 S HARLEM AVE, PALOS HEIGHTS, IL 60463-1167
(708) 923-1332
(708) 923-1263
Mailing address
8239 AUBURN LN, FRANKFORT, IL 60423-1717
(815) 922-1582

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
IL

Other

Enumeration date
06/04/2007
Last updated
07/08/2007
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