Individual
AUDREY SLAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
3707 WEST LAKE AVENUE, SUITE 200, GLENVIEW, IL 60026
(847) 998-1188
Mailing address
818 S 2ND ST, DEKALB, IL 60115-4171
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.003955
IL
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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