Individual
AMY ALCORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2101 WAUKEGAN RD STE 100, BANNOCKBURN, IL 60015
(847) 236-1194
(847) 236-1195
Mailing address
908 CEDAR LN, NORTHBROOK, IL 60062-3540
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-008591
IL
Other
Enumeration date
07/20/2006
Last updated
06/19/2018
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