Individual
MRS. MARIANNE P. VUCKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.K.T.
Contact information
Practice address
1044 N WESTERN AVE, LAKE FOREST, IL 60045-1282
(847) 234-0404
Mailing address
333 WARWICK RD, DEERFIELD, IL 60015-3328
(847) 945-4845
(847) 945-4893
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
1070
IL
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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