Individual
CORA PACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1000 N WESTMORELAND RD # LEVEL2, LAKE FOREST, IL 60045-1658
(630) 933-1500
(331) 732-4581
Mailing address
1000 N WESTMORELAND RD # LEVEL2, LAKE FOREST, IL 60045-1658
(630) 933-1500
(331) 732-4581
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070028681
IL
Other
Enumeration date
05/15/2025
Last updated
07/22/2025
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