Individual
DEAN KASULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 S GREENLEAF ST, SUITE 403, GURNEE, IL 60031-5709
(847) 596-7640
Mailing address
8930 WAUKEGAN RD, SUITE 200, MORTON GROVE, IL 60053-2126
(847) 324-3976
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-017284
IL
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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