Individual
MAE ALAMILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11570 E 126TH ST, FISHERS, IN 46037-9592
(173) 579-0166
Mailing address
3911 N WESTERN AVE, CHICAGO, IL 60618-3753
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070015421
IL
225100000X
Physical Therapist
CV2201813
IN
Other
Enumeration date
09/13/2012
Last updated
09/06/2022
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